Individual provider Active NPI

John Robert Hammerer, O.D.

  • Optometrist
  • Coxsackie, NY
National Provider Identifier
1942498654
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT-4868 Issued in NY
Practice address
10A Ely St
Coxsackie, NY 12051-1216
Phone
(518) 731-9405
NPI assigned
Oct 9, 2007
Last updated
Sep 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT-4868 NY Primary

Addresses

Primary practice location

10A Ely St
Coxsackie, NY 12051-1216

Mailing address

83 Mansion St
Coxsackie, NY 12051-1216
Phone (518) 731-9405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041222000323 NY Practitioner - Optometry 4284691452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1315 Central Ave
Albany, NY 12205-5282
Phone (518) 731-9405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT-4868NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coxsackie Optometric PC Optometrist CurrentSince Apr 19, 2004 Accepting new patients
Columbia Greene Optometry PLLC Optometrist PastSince Dec 18, 2022 Accepting new patients
Roy Kline Optometry PLLC Optometrist PastSince Oct 12, 2025 Accepting new patients

Locations

1315 Central Ave
Albany, NY 12205
Phone (518) 435-0840

12079 State Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9405

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1942498654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MANSION ST",
            "city": "COXSACKIE",
            "state": "NY",
            "postal_code": "120511216",
            "telephone_number": "518-731-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10A ELY ST",
            "city": "COXSACKIE",
            "state": "NY",
            "postal_code": "120511216",
            "telephone_number": "518-731-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMERER",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT-4868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coxsackie, NY

Sources for this page

Verify at the official NPI Registry.