Individual
DR. MICHAEL WAYNE HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
775 WAUKEGAN RD, SUITE 200, DEERFIELD, IL 60015-4342
(800) 317-0711
(800) 434-7113
Mailing address
2480 SOCIALVILLE FOSTER RD, MAINEVILLE, OH 45039-9305
(513) 677-3880
(513) 677-2840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3773T58
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000014088
BCBS
OH
05
—
0598214
—
OH
Enumeration date
05/11/2006
Last updated
05/19/2008
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