MEDICARE: DR. STEVEN HAMMER OD

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
1	152W00000X	Optometrist	VUT004901-1	NY
2	152W00000X	Optometrist	508	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A400011081	OTHER	NY	PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861491946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN HAMMER OD

Provider Business Mailing Address
First Line	:	1311 AVENUE Z
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3917
Country	:	US
Telephone Number	:	631-428-2417
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 AVENUE Z
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3917
Country	:	US
Telephone Number	:	631-428-2417
Fax Number	:	718-769-2510

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	09/03/2015

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