Active NPI
Phillip R Hammond, O.D.
- Optometrist
- Hermitage, TN
National Provider Identifier
1265475156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODT 918
- Practice address
- 232 Jackson Meadows Dr
Hermitage, TN 37076-1425 - Phone
- (615) 889-2274
- Fax
- (615) 889-2257
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODT 918 | TN | Primary |
Addresses
Primary practice location
232 Jackson Meadows Dr
Hermitage, TN 37076-1425
Mailing address
232 Jackson Meadows Dr
Hermitage, TN 37076-1425
Phone (615) 889-2274
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2242062 | Other | TN | UNITED HEALTH CARE |
| 3595332 | Medicaid | TN | |
| 410005739 | Other | TN | RAILROAD MEDICARE |
| 0030700 | Other | TN | BCBS |
| 621180129 | Other | TN | AETNA |
| 11523404 | Other | TN | CIGNA |
| 3595332 | Other | TN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODT 918 | TN | MD | Optometrist |
| 918 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hermitage Eye Care PLLC | Optometrist | Current | Accepting new patients |
| Hermitage Eye Care PLLC | Optometrist | Past | Accepting new patients |
Locations
782 Old Hickory Blvd
Ste 204
Brentwood, TN 37027
Phone (615) 373-9992
232 Jackson Meadows Dr
Hermitage, TN 37076
Phone (615) 889-2274
Organizations & group practices 2
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
- Hermitage, TN
- NPI 1275943052
-
- Optometrist
- Brentwood, TN
- NPI 1689479909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1265475156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 JACKSON MEADOWS DR",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370761425",
"telephone_number": "615-889-2274",
"fax_number": "615-889-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 JACKSON MEADOWS DR",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370761425",
"telephone_number": "615-889-2274",
"fax_number": "615-889-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "PHILLIP",
"middle_name": "R",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "ODT 918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2242062",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3595332",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410005739",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0030700",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "621180129",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "11523404",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "3595332",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.