Organization Active NPI

Hamill Vision Care, L.L.C.

  • Optometrist
  • Fairview Heights, IL
National Provider Identifier
1275805087
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008083 Issued in IL
Legal business name
HAMILL VISION CARE, L.L.C.
Practice address
235 Saint Clair SQ
Fairview Heights, IL 62208-2134
Phone
(618) 624-8854
Fax
(618) 632-2846
NPI assigned
Feb 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Dr. Diane Patricia Hamill, O.D.
Title
Principal
Phone
(314) 540-0668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046-008083 IL Primary

Addresses

Primary practice location

235 Saint Clair SQ
Fairview Heights, IL 62208-2134

Mailing address

12842 Stump Rd
Saint Louis, MO 63131-2145
Phone (314) 540-0668

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1275805087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12842 STUMP RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312145",
            "telephone_number": "314-540-0668",
            "fax_number": "314-835-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SAINT CLAIR SQ",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082134",
            "telephone_number": "618-624-8854",
            "fax_number": "618-632-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILL VISION CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "HAMILL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "314-540-0668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.