Individual provider Active NPI

David Brian Hammes, O.D.

  • Corneal and Contact Management Optometrist
  • Fond Du Lac, WI
National Provider Identifier
1588745756
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2976-035 Issued in WI
Practice address
355 N Peters Ave
Fond Du Lac, WI 54935-8258
Phone
(920) 922-7121
Fax
(920) 922-5666
NPI assigned
Oct 17, 2006
Last updated
Nov 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2976-035 WI Primary

Addresses

Primary practice location

355 N Peters Ave
Fond Du Lac, WI 54935-8258

Mailing address

355 N Peters Ave
Fond Du Lac, WI 54935-8258
Phone (920) 922-7121

Other identifiers 1

IdentifierTypeStateIssuer
38623700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922000637 WI Practitioner - Optometry 7618945197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Wisconsin Professional LTDGroup PAC ID 1557372968, 16 clinicians

Practice addresses (Care Compare)

2215 Vine St
Suite E
Hudson, WI 54016-5862
Phone (715) 381-1234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2976-035WIMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Wisconsin Professional LTD CurrentSince Jan 1, 2023 Accepting new patients
Eye Care Center of New Holstein, LLC Past Accepting new patients

Locations

355 N Peters Ave
Fond du Lac, WI 54935
Phone (920) 921-7121

2215 Vine St
Ste E
Hudson, WI 54016
Phone (715) 381-1234

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1588745756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 N PETERS AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358258",
            "telephone_number": "920-922-7121",
            "fax_number": "920-922-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N PETERS AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358258",
            "telephone_number": "920-922-7121",
            "fax_number": "920-922-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMES",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WI",
            "license": "2976-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38623700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

Verify at the official NPI Registry.