NPIMap

Organization Active NPI

Bruce L Hammonds OD PC

  • Optometrist
  • Watkinsville, GA
National Provider Identifier
1689856247
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRUCE L HAMMONDS OD PC
Practice address
2281 Hog Mountain Rd
Watkinsville, GA 30677-4846
Phone
(706) 769-4404
Fax
(706) 769-0687
NPI assigned
Dec 5, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Bruce L Hammonds, ODNPI 1548292824
Title
Optometrist
Phone
(706) 769-4404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

2281 Hog Mountain Rd
Watkinsville, GA 30677-4846

Mailing address

2281 Hog Mountain Rd
Watkinsville, GA 30677-4846
Phone (706) 769-4404

Other identifiers 3

IdentifierTypeStateIssuer
1689856247OtherGANPI ORGANIZATION
000249301AMedicaidGA
P00477530OtherGAMEDICARE RAILROAD RETIREMENT

National Provider Directory

National Provider Directory

Locations

2281 Hog Mountain Rd
Watkinsville, GA 30677
Phone (706) 769-4404

2281 Hog Mountain Rd
Ste C
Watkinsville, GA 30677
Phone (706) 769-4404

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1689856247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 HOG MOUNTAIN RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774846",
            "telephone_number": "706-769-4404",
            "fax_number": "706-769-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 HOG MOUNTAIN RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774846",
            "telephone_number": "706-769-4404",
            "fax_number": "706-769-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE L HAMMONDS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HAMMONDS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "706-769-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ORGANIZATION",
            "identifier": "1689856247",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000249301A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD RETIREMENT",
            "identifier": "P00477530",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.