MEDICARE: CHRISTOPHER HAMILTON

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	OPC5217	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558712158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER HAMILTON

Provider Business Mailing Address
First Line	:	410 CITI CTR ST
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-3425
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2602 JAMES L REDMAN PKWY
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33566-9460
Country	:	US
Telephone Number	:	813-752-5838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2016
Last Update Date	:	03/01/2025

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