Organization Active NPI

Margaret a Hamilton OD Inc

  • Optometrist
  • Kettering, OH
National Provider Identifier
1437480563
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3944 Issued in OH
Legal business name
MARGARET A HAMILTON OD INC
Practice address
2194 Hewitt Ave
Kettering, OH 45440-4242
Phone
(937) 438-1717
Fax
(937) 438-3469
NPI assigned
Jan 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Dr. Margaret A Hamilton, O.D.
Title
Owner/OD
Phone
(937) 438-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3944 OH Primary

Addresses

Primary practice location

2194 Hewitt Ave
Kettering, OH 45440-4242

Mailing address

2194 Hewitt Ave
Kettering, OH 45440-4242
Phone (937) 438-1717

Other identifiers 1

IdentifierTypeStateIssuer
0672151MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100917000238 OH Part B Supplier - Clinic/Group Practice 3274658992 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

2194 Hewitt Ave
Dayton, OH 45440
Phone (937) 438-1717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1437480563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 HEWITT AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454404242",
            "telephone_number": "937-438-1717",
            "fax_number": "937-438-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 HEWITT AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454404242",
            "telephone_number": "937-438-1717",
            "fax_number": "937-438-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET A HAMILTON OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "937-438-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672151",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.