Individual
WILLARD DUDLEY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
43 HATCH DR, SUITE 150, CARIBOU, ME 04736-2161
(207) 498-2538
(207) 498-2539
Mailing address
PO BOX 280, CARIBOU, ME 04736-0280
(207) 498-2538
(207) 498-2539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT540
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006041
ANTHEM
ME
05
—
113100099
—
ME
01
—
580002580
RAILROAD MEDICARE
ME
Enumeration date
12/04/2006
Last updated
05/27/2015
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