Organization
BRUCE L HAMMONDS OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE L HAMMONDS OD (OPTOMETRIST)
(706) 769-4404
Entity
Organization
Contact information
Practice address
2281 HOG MOUNTAIN RD, WATKINSVILLE, GA 30677-4846
(706) 769-4404
(706) 769-0687
Mailing address
2281 HOG MOUNTAIN RD, WATKINSVILLE, GA 30677-4846
(706) 769-4404
(706) 769-0687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000249301A
—
GA
01
—
1689856247
NPI ORGANIZATION
GA
01
—
P00477530
MEDICARE RAILROAD RETIREMENT
GA
Enumeration date
12/05/2007
Last updated
06/17/2008
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