NPIMap

Organization Active NPI

Wall & Hamilton Optometrists SC

  • Optometrist
  • Sheboygan, WI
National Provider Identifier
1407919830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2592 Issued in WI
Legal business name
WALL & HAMILTON OPTOMETRISTS SC
Practice address
1337 N Taylor Dr Ste 202
Sheboygan, WI 53081-3012
Phone
(920) 452-5213
Fax
(920) 452-6750
NPI assigned
Dec 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sandra J Hamilton, ODNPI 1528127180
Title
Vice-President
Phone
(920) 452-5213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2592 WI Primary

Addresses

Primary practice location

1337 N Taylor Dr Ste 202
Sheboygan, WI 53081-3012

Mailing address

1337 N Taylor Dr Ste 202
Sheboygan, WI 53081-3012
Phone (920) 452-5213

Other identifiers 6

IdentifierTypeStateIssuer
1154498574OtherWINPI DR WAYNE WALL
1326OtherWISTATE DR WAYNE WALL
2592OtherWISTATE DR SANDRA HAMILTO
1528127180OtherWINPI DR SANDRA HAMILTON
38566900MedicaidWI
38596800MedicaidWI

National Provider Directory

National Provider Directory

Locations

317 Fremont St
Kiel, WI 53042
Phone (920) 286-6233

3144 Wilgus Ave
Sheboygan, WI 53081
Phone (920) 451-1400

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407919830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 N TAYLOR DR STE 202",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813012",
            "telephone_number": "920-452-5213",
            "fax_number": "920-452-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 N TAYLOR DR STE 202",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813012",
            "telephone_number": "920-452-5213",
            "fax_number": "920-452-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL & HAMILTON OPTOMETRISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "920-452-5213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR WAYNE WALL",
            "identifier": "1154498574",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DR WAYNE WALL",
            "identifier": "1326",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DR SANDRA HAMILTO",
            "identifier": "2592",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR SANDRA HAMILTON",
            "identifier": "1528127180",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38566900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38596800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.