Individual
DR. JONATHAN DAVID HAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
117 S MAIN ST, ANN ARBOR, MI 48104-1902
(734) 665-5306
(734) 930-2383
Mailing address
23353 PORTAGE WAY, #2307, NOVI, MI 48375-5401
(248) 946-4291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1247
SC
152W00000X
Optometrist
Primary
4901004354
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154468676
—
MI
01
—
JH004354
BCBS MICHIGAN
—
Enumeration date
01/31/2007
Last updated
06/14/2011
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