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NPI Code Detail

MEDICARE: DR. DAVID BRIAN HAMMES O.D.

MEDICARE: DR. DAVID BRIAN HAMMES O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152WC0802XCorneal and Contact Management Optometrist2976-035WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588745756
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID BRIAN HAMMES O.D.
Provider Business Mailing Address
First Line : 355 N PETERS AVE
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-8258
Country : US
Telephone Number : 920-922-7121
Fax Number : 920-922-5666
Provider Business Practice Location Address
First Line : 355 N PETERS AVE
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-8258
Country : US
Telephone Number : 920-922-7121
Fax Number : 920-922-5666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 11/26/2008

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