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NPI Code Detail

MEDICARE: DR. CRAIG R W HAMILTON OD OPTOMETRIST

MEDICARE: DR. CRAIG R W HAMILTON OD OPTOMETRIST
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
1152W00000XOptometrist140NV

General Provider Information

NPI Number : 1871637538
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG R W HAMILTON OD OPTOMETRIST
Provider Business Mailing Address
First Line : 2190 E PEBBLE RD
Second Line : STE # 140
City : LAS VEGAS
State : NV
Zip : 89123-3207
Country : US
Telephone Number : 702-456-1669
Fax Number : 702-456-6083
Provider Business Practice Location Address
First Line : 2190 E PEBBLE RD
Second Line : STE # 140
City : LAS VEGAS
State : NV
Zip : 89123-3207
Country : US
Telephone Number : 702-456-1669
Fax Number : 702-456-6083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 01/27/2009

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