Provider Demographics
NPI:1871637538
Name:HAMILTON, CRAIG R W (OD OPTOMETRIST)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:R W
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:OD OPTOMETRIST
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Mailing Address - Street 1:2190 E PEBBLE RD
Mailing Address - Street 2:STE # 140
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-3207
Mailing Address - Country:US
Mailing Address - Phone:702-456-1669
Mailing Address - Fax:702-456-6083
Practice Address - Street 1:2190 E PEBBLE RD
Practice Address - Street 2:STE # 140
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-3207
Practice Address - Country:US
Practice Address - Phone:702-456-1669
Practice Address - Fax:702-456-6083
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV140152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist