Individual provider Active NPI

Craig R W Hamilton, OD OPTOMETRIST

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1871637538
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
140 Issued in NV
Practice address
2190 E Pebble Rd
Ste # 140
Las Vegas, NV 89123-3207
Phone
(702) 456-1669
Fax
(702) 456-6083
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 140 NV Primary

Addresses

Primary practice location

2190 E Pebble Rd
Ste # 140
Las Vegas, NV 89123-3207

Mailing address

2190 E Pebble Rd
Ste # 140
Las Vegas, NV 89123-3207
Phone (702) 456-1669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
140NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig RW Hamilton, LTD Optometrist CurrentSince Jun 11, 2023 Accepting new patients

Locations

2190 E Pebble Rd
Ste 140
Las Vegas, NV 89123
Phone (702) 456-1669

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1871637538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 E PEBBLE RD",
            "address_2": "STE # 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891233207",
            "telephone_number": "702-456-1669",
            "fax_number": "702-456-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 E PEBBLE RD",
            "address_2": "STE # 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891233207",
            "telephone_number": "702-456-1669",
            "fax_number": "702-456-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "CRAIG",
        "middle_name": "R W",
        "name_prefix": "Dr.",
        "credential": "OD OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.