Todd Hamilton, O.D.
Individual provider Active NPI Optometrist · Weldon Spring, MO
NPI 1306934823 · NPPES record last updated Jun 7, 2012
Key facts
- NPI
- 1306934823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2000160793 (MO)
- Practice address
- 1120 Wolfrum Rd
Ste. 106
Weldon Spring, MO 63304-7898 - Phone
- (636) 447-2244
- Fax
- (636) 447-2213
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Image Eye Care, LLC
McCullough Optometry Associates PC
Practice addresses (Care Compare)
1120 Wolfrum Rd
Suite 106
Weldon Spring, MO 63304-7958
Phone (636) 447-2244
2035 Zumbehl Rd
Saint Charles, MO 63303-2723
Phone (636) 946-1176
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 26 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070614000030 | MO | Practitioner - Optometry | 6901904911 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000160793 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Image Eye Care, LLC | Current |
Accepting new patients | |
| Luxottica Retail North America Inc | Optometrist | Past | Accepting new patients |
| Pearle Vision Inc | Past | Accepting new patients |
Locations
1120 Wolfrum Rd
Ste 106
Weldon Spring, MO 63304
Phone (636) 447-2244
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2000160793 | MO | Yes |
Addresses
Primary practice location
1120 Wolfrum Rd
Ste. 106
Weldon Spring, MO 63304-7898
Mailing address
1120 Wolfrum Rd
Ste. 106
Weldon Spring, MO 63304-7898
Phone (636) 447-2244
Other providers in Weldon Spring, MO
- Shannon Meredith Gruzeski
- Natalia C Habibi
- Sarah Kealey Haeusser
- Cynthia May Halbrook
- Holly Hamilton
- Andrea Hamrick
- Jennifer Lin Harmon
- Harmonious Health Inc.
- Eric D Hart
- Hartmann Wellness LLC
All providers in Weldon Spring, MO · Optometrist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.