Organization
PHILLIP R HAMMOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP R HAMMOND O.D. (OWNER)
(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
—
0030700
BCBS
TN
01
—
11523404
CIGNA
TN
01
—
2242062
UNITED HEALTH CARE
TN
05
—
3595332
—
TN
Enumeration date
03/27/2008
Last updated
03/27/2008
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