Provider Demographics
NPI:1962453373
Name:HEMMER, LORISSA M (OD)
Entity Type:Individual
Prefix:DR
First Name:LORISSA
Middle Name:M
Last Name:HEMMER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3160 S ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5040
Mailing Address - Country:US
Mailing Address - Phone:248-853-4141
Mailing Address - Fax:
Practice Address - Street 1:3160 S ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307
Practice Address - Country:US
Practice Address - Phone:248-853-4141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004878152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR00988192OtherMEDICARE RAILROAD
OR500637296Medicaid
OR00988192OtherMEDICARE RAILROAD
OR500637296Medicaid