Organization Active NPI

Lisa M Hamilton, PC

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1073105144
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LISA M HAMILTON, PC
Practice address
1268 Interquest Pkwy Ste 120
Colorado Springs, CO 80921-4209
Phone
(303) 972-9731
Fax
(303) 971-0523
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Marie Hamilton, OD
Title
Owner
Phone
(303) 972-9731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1268 Interquest Pkwy Ste 120
Colorado Springs, CO 80921-4209

Mailing address

5132 S Wadsworth Blvd Unit 110
Littleton, CO 80123-2213
Phone (303) 972-9731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070605000075 CO Part B Supplier - Clinic/Group Practice 8426156175 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Littleton, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2795 Pearl St
Ste 101
Boulder, CO 80302
Phone (303) 444-1211

8501 W Bowles Ave
#2C
Littleton, CO 80123
Phone (303) 972-9731

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1073105144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 S WADSWORTH BLVD UNIT 110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232213",
            "telephone_number": "303-972-9731",
            "fax_number": "303-971-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 INTERQUEST PKWY STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214209",
            "telephone_number": "303-972-9731",
            "fax_number": "303-971-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M HAMILTON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-972-9731",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.