Active NPI
Robert Page Hamilton, O.D.
- Optometrist
- Warrenton, OR
National Provider Identifier
1821541210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4050AT
- Practice address
- 1804 SE Ensign LN
Optometry Department
Warrenton, OR 97146-7339 - Phone
- (503) 338-4114
- Fax
- (503) 338-4113
- NPI assigned
- Aug 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4050AT | OR | Primary |
Addresses
Primary practice location
1804 SE Ensign LN
Optometry Department
Warrenton, OR 97146-7339
Mailing address
1804 SE Ensign LN
Optometry Department
Warrenton, OR 97146-7339
Phone (503) 338-4114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4050AT | OR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1821541210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 SE ENSIGN LN",
"address_2": "OPTOMETRY DEPARTMENT",
"city": "WARRENTON",
"state": "OR",
"postal_code": "971467339",
"telephone_number": "503-338-4114",
"fax_number": "503-338-4113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 SE ENSIGN LN",
"address_2": "OPTOMETRY DEPARTMENT",
"city": "WARRENTON",
"state": "OR",
"postal_code": "971467339",
"telephone_number": "503-338-4114",
"fax_number": "503-338-4113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "ROBERT",
"middle_name": "PAGE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "4050AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.