Active NPI
Hamilton Family Eyecare, PC
- Health Service Clinic/Center
- Hamilton, MI
National Provider Identifier
1235312455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 4901003563
- Legal business name
- HAMILTON FAMILY EYECARE, PC
- Practice address
- 3426 M-40 Hwy
Hamilton, MI 49419-9512 - Phone
- (269) 751-4400
- NPI assigned
- Dec 11, 2007
- Last updated
- May 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lynnette Gay Burgess, OD
- Title
- Optometrist/ Owner
- Phone
- (269) 751-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 4901003563 | MI | Primary |
Addresses
Primary practice location
3426 M-40 Hwy
Hamilton, MI 49419-9512
Mailing address
3426 M-40 Hwy
Hamilton, MI 49419-9512
Phone (269) 751-4400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000077251 | Other | MI | PRIORITY HEALTH MEDICAID |
| 900Z310280 | Other | MI | BLUE SHEILD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vision Therapy Optometrist
- Kentwood, MI
- NPI 1598750416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242086400000",
"number": "1235312455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3426 M-40 HWY",
"city": "HAMILTON",
"state": "MI",
"postal_code": "494199512",
"telephone_number": "269-751-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3426 M-40 HWY",
"city": "HAMILTON",
"state": "MI",
"postal_code": "494199512",
"telephone_number": "269-751-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMILTON FAMILY EYECARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-11",
"last_updated": "2009-05-12",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "LYNNETTE",
"authorized_official_middle_name": "GAY",
"authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
"authorized_official_telephone_number": "269-751-4400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "MI",
"license": "4901003563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH MEDICAID",
"identifier": "7000077251",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHEILD",
"identifier": "900Z310280",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.