Organization Active NPI

Phillip R Hammond

  • Optometrist
  • Hermitage, TN
National Provider Identifier
1780856922
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT918 Issued in TN
Legal business name
PHILLIP R HAMMOND
Practice address
232 Jackson Meadows Dr
Hermitage, TN 37076-1425
Phone
(615) 889-2274
Fax
(615) 889-2257
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Phillip R Hammond, O.D.
Title
Owner
Phone
(615) 889-2274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X ODT918 TN Primary

Addresses

Primary practice location

232 Jackson Meadows Dr
Hermitage, TN 37076-1425

Mailing address

232 Jackson Meadows Dr
Hermitage, TN 37076-1425
Phone (615) 889-2274

Other identifiers 4

IdentifierTypeStateIssuer
2242062OtherTNUNITED HEALTH CARE
11523404OtherTNCIGNA
3595332MedicaidTN
0030700OtherTNBCBS

National Provider Directory

National Provider Directory

Locations

232 Jackson Meadows Dr
Hermitage, TN 37076
Phone (615) 889-2274

Practitioners & affiliated clinicians

Practitioners 4

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1780856922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 JACKSON MEADOWS DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761425",
            "telephone_number": "615-889-2274",
            "fax_number": "615-889-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 JACKSON MEADOWS DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761425",
            "telephone_number": "615-889-2274",
            "fax_number": "615-889-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP R HAMMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-889-2274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2242062",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "11523404",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3595332",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0030700",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.