Provider Demographics
NPI:1073594545
Name:HAMLIN, DAVID R (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:HAMLIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:606 S GEORGE WALLACE DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-3823
Mailing Address - Country:US
Mailing Address - Phone:334-566-2020
Mailing Address - Fax:334-566-2035
Practice Address - Street 1:606 S GEORGE WALLACE DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-3823
Practice Address - Country:US
Practice Address - Phone:334-566-2020
Practice Address - Fax:334-566-2035
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS885TA443152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2210303OtherUNITED HEALTH CARE
AL4571390001Medicare NSC
ALU72723Medicare UPIN