Kenji Hamada, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1181ATI Issued in OR

Practice address

1022 NW 6TH Street
Grants Pass, OR 97526

Phone

(541) 476-4545

Fax

(541) 479-5985

NPI assigned

Oct 2, 2006

Last updated

Mar 7, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Eye Care Group of Southern Oregon, LLC

  dba Eye Care Group

  • Optometrist
  • Grants Pass, OR
  • NPI 1306988787
  NPD (past)
• Eye Care Group of Southern Oregon, LLC

  dba Eye Care Group

  • Optometrist
  • Cave Junction, OR
  • NPI 1386786309
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104910603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 NW 6TH STREET",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-476-4545",
            "fax_number": "541-479-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 NW 6TH STREET",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-476-4545",
            "fax_number": "541-479-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMADA",
        "first_name": "KENJI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1181ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086884",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmeline Grace Hall
• Matthew Wayne Hall, MD
• Sarah L Hall
• Ian Stuart Hallows, D.O. CAQ-SM
• Deborah Halstead, RN
• Barry Hamann, MD
• Jarred James Hamilton
• Lorene Hamilton, D.O.
• Neil R Hammond, PHARMD
• Heather L Hampton

• Optometrist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.