Individual
DR. SAMANTHA RAO HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
88 NOBLE AVE STE 105, MILFORD, CT 06460-4738
(203) 693-7333
Mailing address
88 NOBLE AVE STE 105, MILFORD, CT 06460-4738
(203) 693-7333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
003025
CT
152WC0802X
Corneal and Contact Management Optometrist
Primary
003025
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008106134
—
CT
Enumeration date
06/17/2016
Last updated
05/21/2024
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