Provider Demographics
NPI:1013449388
Name:HAMMER, JON DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:DAVID
Last Name:HAMMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:120 N EAGLE CREEK DR STE 211
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1827
Mailing Address - Country:US
Mailing Address - Phone:859-263-3030
Mailing Address - Fax:859-263-2491
Practice Address - Street 1:120 N EAGLE CREEK DR STE 211
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1827
Practice Address - Country:US
Practice Address - Phone:859-263-3030
Practice Address - Fax:859-263-2491
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2022-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN69035207W00000X
KY56353207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology