Active NPI
Diana W. Hamm, OD
- Optometrist
- Hobbs, NM
National Provider Identifier
1700966736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2230
- Practice address
- 1811 N Dal Paso St
Hobbs, NM 88240-3042 - Phone
- (575) 397-3611
- Fax
- (575) 393-1544
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 2230 | NM | Primary |
Addresses
Primary practice location
1811 N Dal Paso St
Hobbs, NM 88240-3042
Mailing address
1811 N Dal Paso St
Hobbs, NM 88240-3042
Phone (575) 397-3611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM00P168 | Other | NM | BCBS OF NEW MEXICO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2230 | NM | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1700966736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 N DAL PASO ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882403042",
"telephone_number": "575-397-3611",
"fax_number": "575-393-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 N DAL PASO ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882403042",
"telephone_number": "575-397-3611",
"fax_number": "575-393-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMM",
"first_name": "DIANA",
"middle_name": "W.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "2230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NEW MEXICO",
"identifier": "NM00P168",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.