NPIMap

Individual provider Active NPI

Joseph Michael Hammond, O.D.

  • Optometrist
  • Louisville, KY
National Provider Identifier
1598020422
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1887DT Issued in KY
Practice address
4000 Poplar Level Rd
Louisville, KY 40213-1524
Phone
(502) 459-2020
Fax
(502) 456-9121
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003736A IN
Optometrist 152W00000X 1887DT KY Primary

Addresses

Primary practice location

4000 Poplar Level Rd
Louisville, KY 40213-1524

Mailing address

2110 S Hurstbourne Pkwy
Louisville, KY 40220-1622
Phone (502) 491-2232

Other identifiers 6

IdentifierTypeStateIssuer
7100235340MedicaidKY
000000794382OtherKYANTHEM BCBS
1887DTOtherKYOPTOMETRIC LICENSE
18003736AOtherINOPTOMETRIC LICENSE
18003736BOtherINOPTOMETRIC LEGEND DRUG CERTIFICATE
P01252794OtherKYRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121119000293 KY Practitioner - Optometry 3375794423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Optometric Centers III, PSC 38 clinicians

Practice addresses (Care Compare)

4000 Poplar Level Rd
Louisville, KY 40213-1524
Phone (502) 459-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003736AINMDOptometrist
1887DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince Dec 1, 2012 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince Dec 1, 2012 Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients

Locations

4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004

4202 Poplar Level Rd
Louisville, KY 40213

2110 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 491-2232

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1598020422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 S HURSTBOURNE PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201622",
            "telephone_number": "502-491-2232",
            "fax_number": "502-499-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131524",
            "telephone_number": "502-459-2020",
            "fax_number": "502-456-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003736A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1887DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100235340",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000794382",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE",
            "identifier": "1887DT",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE",
            "identifier": "18003736A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LEGEND DRUG CERTIFICATE",
            "identifier": "18003736B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01252794",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.