Individual provider Active NPI

Stacy Jo Hamlet, O.D.

  • Optometrist
  • Thousand Oaks, CA
National Provider Identifier
1730167354
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11645T Issued in CA
Practice address
140 W Hillcrest Dr
112
Thousand Oaks, CA 91360-4221
Phone
(805) 497-6964
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11645T CA Primary

Addresses

Primary practice location

140 W Hillcrest Dr
112
Thousand Oaks, CA 91360-4221

Mailing address

794 Tuolumne Ave
Thousand Oaks, CA 91360-4252
Phone (805) 777-1073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041218000057 CA Practitioner - Optometry 3274590567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

299 W Hillcrest Dr
Suite 215
Thousand Oaks, CA 91360-7840
Phone (805) 497-6964

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11645TCAMDOptometrist
11645CAMDAcupuncturist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1730167354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 TUOLUMNE AVE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604252",
            "telephone_number": "805-777-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W HILLCREST DR",
            "address_2": "112",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604221",
            "telephone_number": "805-497-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLET",
        "first_name": "STACY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11645T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.