Provider Demographics
NPI:1437480563
Name:MARGARET A HAMILTON OD INC
Entity Type:Organization
Organization Name:MARGARET A HAMILTON OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OD
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:937-438-1717
Mailing Address - Street 1:2194 HEWITT AVE
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45440-4242
Mailing Address - Country:US
Mailing Address - Phone:937-438-1717
Mailing Address - Fax:937-438-3469
Practice Address - Street 1:2194 HEWITT AVE
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45440-4242
Practice Address - Country:US
Practice Address - Phone:937-438-1717
Practice Address - Fax:937-438-3469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3944152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0672151Medicaid
T48668Medicare UPIN
OH0606062Medicare PIN