MEDICARE: CRAIG RW HAMILTON, LTD

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	:	1962196303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRAIG RW HAMILTON, LTD

Provider Business Mailing Address
First Line	:	2190 E PEBBLE RD STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-3212
Country	:	US
Telephone Number	:	702-456-1669
Fax Number	:

Provider Business Practice Location Address
First Line	:	2190 E PEBBLE RD STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-3212
Country	:	US
Telephone Number	:	702-456-1669
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CRAIG RW HAMILTON
Credential	:	OD
Telephone Number	:	702-456-1669

Provider Enumeration Date	:	06/07/2023
Last Update Date	:	06/07/2023

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