Organization
HERMITAGE EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP RAY HAMMOND OD (OPTOMETRIST)
(615) 889-2274
Entity
Organization
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
ODT918
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130460001
CIGNA GOVT SERVICES
—
01
—
410005739
PALMETTO GBA
TN
Enumeration date
05/02/2014
Last updated
12/23/2014
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