Provider Demographics
NPI:1871528745
Name:HAMILTON, BRETT WILLIAM (OD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:WILLIAM
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 1:1 CHISHOLM TRL STE 2100
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5002
Mailing Address - Country:US
Mailing Address - Phone:512-671-9494
Mailing Address - Fax:512-671-9469
Practice Address - Street 1:1 CHISHOLM TRL STE 2100
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5002
Practice Address - Country:US
Practice Address - Phone:512-671-9494
Practice Address - Fax:512-671-9469
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6527TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX217026801Medicaid
TXV00378Medicare UPIN
TX8F23404Medicare PIN