Individual
DR. JOSEPH MICHAEL HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 459-2020
(502) 456-9121
Mailing address
2110 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220-1622
(502) 491-2232
(502) 499-2700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003736A
IN
152W00000X
Optometrist
Primary
1887DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000794382
ANTHEM BCBS
KY
01
—
18003736A
OPTOMETRIC LICENSE
IN
01
—
18003736B
OPTOMETRIC LEGEND DRUG CERTIFICATE
IN
01
—
1887DT
OPTOMETRIC LICENSE
KY
05
—
7100235340
—
KY
01
—
P01252794
RR MEDICARE
KY
Enumeration date
07/06/2012
Last updated
02/19/2014
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