Organization Active NPI

Hamilton Family Eyecare, PC

  • Health Service Clinic/Center
  • Hamilton, MI
National Provider Identifier
1235312455
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4901003563 Issued in MI
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7000077251OtherMIPRIORITY HEALTH MEDICAID
900Z310280OtherMIBLUE SHEILD

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.