Provider Demographics
NPI:1083678577
Name:HAMILTON, STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 N DEAN RD STE 300
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-9452
Mailing Address - Country:US
Mailing Address - Phone:334-364-3330
Mailing Address - Fax:334-364-3329
Practice Address - Street 1:890 N DEAN RD STE 300
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-9452
Practice Address - Country:US
Practice Address - Phone:334-364-3330
Practice Address - Fax:334-364-3329
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.15229207W00000X, 207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000540328AMedicaid
GA00965Medicare PIN
GAC30849Medicare PIN
GAF25648Medicare UPIN
GA18BDCNWMedicare ID - Type Unspecified