MEDICARE: KEVIN C. HAMILTON, O.D., L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OEG001111	PA

General Provider Information

NPI Number	:	1770729303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEVIN C. HAMILTON, O.D., L.L.C.

Provider Business Mailing Address
First Line	:	119 BROWNSVILLE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-2113
Country	:	US
Telephone Number	:	412-381-7600
Fax Number	:	412-381-5015

Provider Business Practice Location Address
First Line	:	119 BROWNSVILLE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-2113
Country	:	US
Telephone Number	:	412-381-7600
Fax Number	:	412-381-5015

Authorized Official
Title or Position	:	OWNER/OPTOMETRIST
Name	:	DR. KEVIN CHARLES HAMILTON
Credential	:	O.D.
Telephone Number	:	412-381-7600

Provider Enumeration Date	:	01/03/2009
Last Update Date	:	10/29/2009

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