Individual provider Active NPI

Nathan C Hamaker, MD

  • Ophthalmology Physician
  • Lancaster, CA
National Provider Identifier
1104852292
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C205778 Issued in CA
Practice address
44439 17TH St W # 210
Lancaster, CA 93534-2831
Phone
(816) 838-3464
Fax
(818) 672-2700
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C205778 CA Primary

Addresses

Primary practice location

44439 17TH St W # 210
Lancaster, CA 93534-2831

Mailing address

44439 17TH St W # 210
Lancaster, CA 93534-2831
Phone (816) 838-3464

Other identifiers 1

IdentifierTypeStateIssuer
P00411373OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070801000603 MO Practitioner - Ophthalmology 7517058894 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007010850MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seibert Mobile Optometry LLC CurrentSince Jul 25, 2024 Accepting new patients
Eye Care, LLC PastSince Jul 1, 2007 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

1410 N Kentucky Ave
West Plains, MO 65775
Phone (417) 256-7975

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1104852292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44439 17TH ST W # 210",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342831",
            "telephone_number": "816-838-3464",
            "fax_number": "818-672-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44439 17TH ST W # 210",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342831",
            "telephone_number": "816-838-3464",
            "fax_number": "818-672-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAKER",
        "first_name": "NATHAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C205778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00411373",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.