Provider Demographics
NPI:1154062339
Name:DR GEORGE G AMATUZZI & ASSOCIATES LLC
Entity type:Organization
Organization Name:DR GEORGE G AMATUZZI & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:G
Authorized Official - Last Name:AMATUZZI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:203-431-3937
Mailing Address - Street 1:2313 WHITNEY AVE
Mailing Address - Street 2:UNIT 1D
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518
Mailing Address - Country:US
Mailing Address - Phone:203-248-8224
Mailing Address - Fax:203-248-8628
Practice Address - Street 1:2313 WHITNEY AVE
Practice Address - Street 2:UNIT 1D
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518
Practice Address - Country:US
Practice Address - Phone:203-248-8224
Practice Address - Fax:203-248-8628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty