Willard Dudley Hamilton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT540 Issued in ME

Practice address

43 Hatch Dr
Suite 150
Caribou, ME 04736-2161

Phone

(207) 498-2538

Fax

(207) 498-2539

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Aroostook Mental Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Presque Isle, ME
  • NPI 1487601399
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1720146863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047360280",
            "telephone_number": "207-498-2538",
            "fax_number": "207-498-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 HATCH DR",
            "address_2": "SUITE 150",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362161",
            "telephone_number": "207-498-2538",
            "fax_number": "207-498-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "WILLARD",
        "middle_name": "DUDLEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "006041",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113100099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "580002580",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Griffeth
• Bernard Hade, MD
• Anna M. Hale, MHRT-C
• Aimee Rhnea Ham
• Kevin Ray Hamilton, CRNA
• Denise Marie Hamlin, LCSW
• Jon Mark Hamlin, LCSW
• Hannaford Bros. Co LLC
• Hannaford Bros. Co., LLC
• Danielle Hanson, OQMHP-C

• Optometrist in Caribou, ME
• Providers in Caribou, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.