Provider Demographics
NPI:1316004260
Name:HEMMER EYE CARE, LLC
Entity Type:Organization
Organization Name:HEMMER EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER RESIDENT AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HEMMER
Authorized Official - Suffix:
Authorized Official - Credentials:OD MS
Authorized Official - Phone:812-480-8812
Mailing Address - Street 1:125 SHELTER CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-7247
Mailing Address - Country:US
Mailing Address - Phone:775-885-0200
Mailing Address - Fax:775-885-0200
Practice Address - Street 1:3200 MARKET ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-7984
Practice Address - Country:US
Practice Address - Phone:775-885-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV495 & 511152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV104148Medicare PIN