Hamill and Buduan Ods

Primary specialty

OptometristTaxonomy code 152W00000X

License

5866T Issued in CA

Legal business name

HAMILL AND BUDUAN ODS

Practice address

152 N San Mateo Dr
San Mateo, CA 94401-2761

Phone

(650) 344-2555

Fax

(650) 344-1702

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Bruce Hamill, O.D.

Title

Owner

Phone

(650) 344-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Mateo Eye Care Center Optometry Other name

Locations

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1306020730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012761",
            "telephone_number": "650-344-2555",
            "fax_number": "650-344-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012761",
            "telephone_number": "650-344-2555",
            "fax_number": "650-344-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILL AND BUDUAN ODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "HAMILL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-344-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5866T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ78500Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Mateo Eye Care Center Optometry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trisha Haleakala
• Darryl Hall
• Joan C Haller, MSW
• Hallmark Hospice of Northern California, LLC
• Michelle Hamady, DC
• Gary Hamill
• Henry H Hamilton, M.D.
• Jeramie Scott Hamilton
• Kasey Hamilton
• Susan Lee Hamlin, MFT

• Optometrist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.