Provider Demographics
NPI:1437100468
Name:HAMMOND, ROBERT S (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-2617
Mailing Address - Country:US
Mailing Address - Phone:919-552-3181
Mailing Address - Fax:919-552-0197
Practice Address - Street 1:1340 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2617
Practice Address - Country:US
Practice Address - Phone:919-552-3181
Practice Address - Fax:919-552-0197
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1140152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909357Medicaid
NC09459OtherBSBC
NC0921COtherBCBS
NC246441AOtherMEDICARE
NC1381OtherMEDICARE
NC1382OtherMEDICARE
NC410033521OtherRR MEDICARE
NC890921CMedicaid
NCC10278OtherRR MEDICARE
NC2701064OtherAETNA
NC410026127OtherRR MEDICARE
NC4493993OtherAETNA
NCDE1984OtherRR MEDICARE
NC410026127OtherRR MEDICARE
NC2701064OtherAETNA
NC8909357Medicaid
NC890921CMedicaid