Provider Demographics
NPI:1861491946
Name:HAMMER, STEVEN (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:HAMMER
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 1:1311 AVENUE Z
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3917
Mailing Address - Country:US
Mailing Address - Phone:631-428-2417
Mailing Address - Fax:
Practice Address - Street 1:1311 AVENUE Z
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3917
Practice Address - Country:US
Practice Address - Phone:631-428-2417
Practice Address - Fax:718-769-2510
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT004901-1152W00000X
NV508152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400011081OtherPTAN
NY01251069Medicaid
NYA400011081OtherPTAN
NY01251069Medicaid