# DR. CHAD DOUGLAS HUMMEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770877284
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 283394 | NY | — |
| 207W00000X | Ophthalmology Physician | ME150884 | FL | Yes |

## Other

- **Enumeration date:** 06/01/2011
- **Last updated:** 08/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04375339 | — | NY |
| 05 | — | 114620600 | — | FL |