Individual
PHILLIP R HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
232 JACKSON MEADOWS DR, HERMITAGE, TN 37076-1425
(615) 889-2274
(615) 889-2257
Mailing address
232 JACKSON MEADOWS DR, HERMITAGE, TN 37076-1425
(615) 889-2274
(615) 889-2257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT 918
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030700
BCBS
TN
01
—
11523404
CIGNA
TN
01
—
2242062
UNITED HEALTH CARE
TN
01
—
3595332
MEDICARE PTAN
TN
05
—
3595332
—
TN
01
—
410005739
RAILROAD MEDICARE
TN
01
—
621180129
AETNA
TN
Enumeration date
06/14/2006
Last updated
05/06/2008
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