Provider Demographics
NPI:1285763045
Name:HANCOCK, JAMES CRAIG (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CRAIG
Last Name:HANCOCK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4219 GOODNESS CT
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-2076
Mailing Address - Country:US
Mailing Address - Phone:314-838-9345
Mailing Address - Fax:
Practice Address - Street 1:250 SOUTH COUNTY CENTER WAY
Practice Address - Street 2:SEARS OPTICAL
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129
Practice Address - Country:US
Practice Address - Phone:314-487-3345
Practice Address - Fax:314-416-2447
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOTO2680152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist