Individual
PHILLIP R HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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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