Active NPI
Jonathan David Hamer, O.D.
- Optometrist
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004354
- Practice address
- 117 S Main St
Ann Arbor, MI 48104-1902 - Phone
- (734) 665-5306
- Fax
- (734) 930-2383
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004354 | MI | Primary |
| Optometrist | 152W00000X | 1247 | SC |
Addresses
Primary practice location
117 S Main St
Ann Arbor, MI 48104-1902
Mailing address
23353 Portage Way
#2307
Novi, MI 48375-5401
Phone (248) 946-4291
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154468676 | Medicaid | MI | |
| JH004354 | Other | BCBS MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
118 Cass Ave
Mount Clemens, MI 48043-2204
Phone (586) 468-7612
6725 Park Ave
Allen Park, MI 48101-2033
Phone (313) 382-0100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004354 | MI | MD | Optometrist |
| 1247 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| Pearle Vision Inc | Past | Accepting new patients | |
| Pearle Vision Inc | Optometrist | Past | Accepting new patients |
Locations
6725 Park Ave
Allen Park, MI 48101
Phone (313) 382-0100
2555 Jackson Ave
Ann Arbor, MI 48103
Phone (734) 239-8900
22561 Gratiot Ave
Eastpointe, MI 48021
Phone (586) 350-2100
34505 Utica Rd
Fraser, MI 48026
Phone (586) 293-4198
355 S Broadway St
Lake Orion, MI 48362
Phone (248) 693-8666
3184 Gratiot Blvd
Marysville, MI 48040
Phone (810) 364-5520
1314 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-0195
118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479
30120 Harper Ave
Saint Clair Shores, MI 48082
Phone (586) 778-7542
52799 Hayes Rd
Shelby Township, MI 48315
Phone (586) 247-2652
22320 Goddard Rd
Taylor, MI 48180
Phone (313) 299-8870
3110 Van Horn Rd
Trenton, MI 48183
Phone (734) 675-8197
3150 Alpine Ave NW
Ste F
Walker, MI 49544
Phone (616) 363-9831
29660 S Wixom Rd
Wixom, MI 48393
Phone (248) 313-5500
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Mount Clemens, MI
- NPI 1194879023
-
- Optometrist
- Mount Pleasant, MI
- NPI 1558246942
-
- Optometrist
- New Hudson, MI
- NPI 1891840682
-
- Eyewear Supplier
- Fairview Heights, IL
- NPI 1982744033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1154468676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23353 PORTAGE WAY",
"address_2": "#2307",
"city": "NOVI",
"state": "MI",
"postal_code": "483755401",
"telephone_number": "248-946-4291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 S MAIN ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041902",
"telephone_number": "734-665-5306",
"fax_number": "734-930-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMER",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004354",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1247",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154468676",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MICHIGAN",
"identifier": "JH004354",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.