Provider Demographics
NPI:1477743037
Name:BRETT W HAMILTON OD
Entity Type:Organization
Organization Name:BRETT W HAMILTON OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-467-2020
Mailing Address - Street 1:13729 RESEARCH BLVD
Mailing Address - Street 2:SUITE 610-202
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1883
Mailing Address - Country:US
Mailing Address - Phone:512-467-2020
Mailing Address - Fax:512-458-2201
Practice Address - Street 1:115 SUNDANCE PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-7914
Practice Address - Country:US
Practice Address - Phone:512-467-2020
Practice Address - Fax:512-458-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06527TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV00378Medicare UPIN