Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith R. Hamm, OD

Individual provider Optometrist · NPI 1225023401

Dr. Keith R. Hamm, OD is an Optometry in Shiloh, Illinois. Graduated from Southern College of Optometry in 2002, 24 years ago. Practices with Avc Optometry Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
24
Trained at
Southern College of Optometry
Licensed in
IL, MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3248 Green Mount Crossing Dr
Shiloh, IL 62269-7284
Phone: (618) 622-9225
Fax: (618) 624-6731
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046-009444 (IL)
Optometrist Taxonomy 152W00000X · Licence 20020153161 (MO)

Record details

NPI number1225023401
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 14, 2005
Last updated in NPPESAugust 17, 2022
Mailing address40 E North St, Eureka, MO 63025-1205

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2002 (24 years in practice)
Group practice Avc Optometry Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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