Individual provider Active NPI

George Herman Hamiter III, OD

  • Optometrist
  • Augusta, GA
National Provider Identifier
1669555181
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1011T Issued in GA
Practice address
3450 Wrightsboro Rd
Suite 1325
Augusta, GA 30909-0566
Phone
(706) 736-9929
Fax
(706) 736-9967
NPI assigned
Oct 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1011T GA Primary

Addresses

Primary practice location

3450 Wrightsboro Rd
Suite 1325
Augusta, GA 30909-0566

Mailing address

3450 Wrightsboro Rd
Suite 1325
Augusta, GA 30909-0566
Phone (706) 736-9929

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20111122000220 GA Practitioner - Optometry 3274707690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1011TGAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1669555181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 WRIGHTSBORO RD",
            "address_2": "SUITE 1325",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090566",
            "telephone_number": "706-736-9929",
            "fax_number": "706-736-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 WRIGHTSBORO RD",
            "address_2": "SUITE 1325",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090566",
            "telephone_number": "706-736-9929",
            "fax_number": "706-736-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMITER",
        "first_name": "GEORGE",
        "middle_name": "HERMAN",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1011T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.