MEDICARE: BRETT W HAMILTON OD PA

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

General Provider Information

NPI Number	:	1851628473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRETT W HAMILTON OD PA

Provider Business Mailing Address
First Line	:	1 CHISHOLM TRL STE 2100
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5002
Country	:	US
Telephone Number	:	512-671-9494
Fax Number	:	512-671-9469

Provider Business Practice Location Address
First Line	:	1 CHISHOLM TRL STE 2100
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5002
Country	:	US
Telephone Number	:	512-671-9494
Fax Number	:	512-671-9469

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRETT W HAMILTON
Credential	:	O.D.
Telephone Number	:	512-671-9494

Provider Enumeration Date	:	11/04/2009
Last Update Date	:	08/27/2012

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