Organization Active NPI

Michael W. Hammer,O.D. Inc.

  • Optometrist
  • Mason, OH
National Provider Identifier
1316208317
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3773T58 Issued in OH
Legal business name
MICHAEL W. HAMMER,O.D. INC.
Practice address
126 E Main St
Mason, OH 45040-1918
Phone
(513) 677-2840
Fax
(513) 677-2840
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Wayne Hammer, O.D.
Title
President
Phone
(513) 677-2840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3773T58 OH Primary

Addresses

Primary practice location

126 E Main St
Mason, OH 45040-1918

Mailing address

2480 Socialville Foster Rd
Maineville, OH 45039-9305
Phone (513) 677-3880

Other identifiers 2

IdentifierTypeStateIssuer
000000014088OtherOHBLUE CROSS BLUE SHIELD
0598214MedicaidOH

National Provider Directory

National Provider Directory

Locations

1020 Main St
Hamilton, OH 45013
Phone (513) 896-7641

2575 W US 22 and 3
Ste K
Maineville, OH 45039
Phone (513) 520-0755

126 E Main St
Mason, OH 45040
Phone (513) 677-2840

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1316208317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 SOCIALVILLE FOSTER RD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450399305",
            "telephone_number": "513-677-3880",
            "fax_number": "513-677-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401918",
            "telephone_number": "513-677-2840",
            "fax_number": "513-677-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. HAMMER,O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-677-2840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3773T58",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000014088",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0598214",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.