Samuel Young Ham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61287385 Issued in WA

Practice address

4750 N Division St # 1010
Spokane, WA 99207-1411

Phone

(509) 596-9879

NPI assigned

Jul 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hillmoor Optometric PLLCGroup PAC ID 2163858796, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hillmoor Optometric PLLC

  • Optometrist
  • Port St Lucie, FL
  • NPI 1285125419
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1093448268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 N DIVISION ST # 1010",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071411",
            "telephone_number": "509-596-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 N DIVISION ST # 1010",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071411",
            "telephone_number": "509-596-9879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14700 E Indiana Ave Spc 1008",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161841",
            "country_code": "US",
            "telephone_number": "509-596-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAM",
        "first_name": "SAMUEL",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61287385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Halterman
• Danielle Elaine Halverson, DDS
• Jade Halverson
• Deborah Sue Ham, P.T.
• Lawrence Edward Ham, M.S., P.T.
• Emily Hamad, RDN
• Debra Michiko Hamamoto, MASTERS DEGREE
• Chad K Hamasaki, MED
• Brenda N/a Hamel
• Amber Autumn Hamilton

• Optometrist in Spokane, WA
• Providers in Spokane, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.