Individual provider Active NPI

John Marc Hamilton

  • Optometrist
  • Gray, ME
National Provider Identifier
1154949345
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1031 Issued in ME
Practice address
6 Turnpike Acres Rd
Gray, ME 04039-9432
Phone
(207) 657-4488
NPI assigned
Jul 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1031 ME Primary

Addresses

Primary practice location

6 Turnpike Acres Rd
Gray, ME 04039-9432

Mailing address

6 Turnpike Acres Rd
Gray, ME 04039-9432
Phone (207) 657-4488

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20201029002547 ME Practitioner - Optometry 0648680801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gray Family Vision Center, P.a.Group PAC ID 5991752586, 3 clinicians

Practice addresses (Care Compare)

6 Turnpike Acres Rd
Gray, ME 04039-9432
Phone (207) 657-4488

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1031MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Urgent Care LLC CurrentSince Jun 12, 2022 Accepting new patients
Gray Family Vision Center, P.a. Optometrist CurrentSince Jul 11, 2022 Accepting new patients

Locations

6 Turnpike Acres Rd
Gray, ME 04039
Phone (207) 657-1165

8 Crimson Dr
Unit 2
Windham, ME 04062

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26504/brand/1/csg/1/fhir/r4

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": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1154949345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TURNPIKE ACRES RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399432",
            "telephone_number": "207-657-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TURNPIKE ACRES RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399432",
            "telephone_number": "207-657-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JOHN MARC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, ME

Sources for this page

Verify at the official NPI Registry.