Provider Demographics
NPI:1245248418
Name:HAMMERSCHMIDT, MICHAEL J (OD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:HAMMERSCHMIDT
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:1300 E LASALLE DR
Mailing Address - Street 2:STE 2
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-5716
Mailing Address - Country:US
Mailing Address - Phone:701-557-1574
Mailing Address - Fax:701-557-1649
Practice Address - Street 1:1300 E LASALLE DR
Practice Address - Street 2:STE 2
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-5716
Practice Address - Country:US
Practice Address - Phone:701-557-1574
Practice Address - Fax:701-557-1649
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ND403152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND2203717OtherSECURE HORIZONS DIRECT
ND60324Medicaid
ND410029162OtherRAILROAD MEDICARE
ND8823OtherBLUE SHIELD
ND450443616OtherTRICARE WEST REGION
ND595020OtherADVANTRA FREEDOM
NDND0003002OtherHUMANA
ND870403OtherNORTH DAKOTA VISION SERVI
ND8823OtherBLUE SHIELD
ND870403OtherNORTH DAKOTA VISION SERVI
ND595020OtherADVANTRA FREEDOM