Samantha L Hamblet, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60163091 Issued in WA

Practice address

3409 Capitol Blvd SW
Tumwater, WA 98501-3307

Phone

(360) 228-2733

Fax

(360) 252-8173

NPI assigned

Sep 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Samantha D Locy Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Love PLLCGroup PAC ID 4183951130, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Love PLLC

  • Optometrist
  • Tumwater, WA
  • NPI 1093272841
  Medicare reassignment Care Compare group NPD Authorized official
• Vision Health PLLC

  • Optometrist
  • Tumwater, WA
  • NPI 1184781353
  Medicare reassignment NPD
• Eye Love PLLC

  • Optometrist
  • Dupont, WA
  • NPI 1124732847
  NPD Authorized official

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578096000000",
    "number": "1639327232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 CAPITOL BLVD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013307",
            "telephone_number": "360-228-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 CAPITOL BLVD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013307",
            "telephone_number": "360-228-2733",
            "fax_number": "360-252-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLET",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010128",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60163091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drhamblet@revolutionehr.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3409 Capitol Blvd SW",
            "city": "Tumwater",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985013307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "LOCY",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hayley Hall
• Kellie S Hall, LMHCA
• Victoria Hall, LMP
• Deborah S Halstead
• Kenneth C. Halvorson
• Karen Lynne Hamilton
• Tammie Hamilton, LMT
• Pamela Handran, ARNP, RN
• Allison Hanelt, L.M.P.
• Anita Susan Harbour, M.A., CCC-SLP

• Optometrist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.