MEDICARE: HAMILTON OPTICAL

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	332H00000X	Eyewear Supplier	DR1707	TX

General Provider Information

NPI Number	:	1972772689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMILTON OPTICAL

Provider Business Mailing Address
First Line	:	2703 W CUTHBERT AVE
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79701-3819
Country	:	US
Telephone Number	:	432-694-4300
Fax Number	:	432-520-8460

Provider Business Practice Location Address
First Line	:	2703 W CUTHBERT AVE
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79701-3819
Country	:	US
Telephone Number	:	432-694-4300
Fax Number	:	432-520-8460

Authorized Official
Title or Position	:	OPTICIAN
Name	:	MR. RODDY T HAMILTON
Credential	:
Telephone Number	:	432-694-4300

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	07/22/2008

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Directions to “HAMILTON OPTICAL ” Practice Location

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