Provider Demographics
NPI:1396741955
Name:HAMILTON, JAMES D (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6307 89TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-8803
Mailing Address - Country:US
Mailing Address - Phone:806-441-8914
Mailing Address - Fax:
Practice Address - Street 1:6307 89TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-8803
Practice Address - Country:US
Practice Address - Phone:806-441-8914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4809TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00216EOtherPTAN
TX00216EMedicare ID - Type Unspecified
TX3954860001Medicare NSC
00216EOtherPTAN