Theodore G. Hammond | Shelby Township, MI • PECOS Search

Theodore G. Hammond

Optometrist

Eye and Vision Services Providers

47626 Cheryl Ct, Shelby Township, MI 48315-4708

PECOS Enrollment

Based on the most recent information from CMS, provider Theodore G. Hammond does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1770709966
Provider Type
Individual
Full Name
Hammond, Theodore G.
Title
Dr.
Credential
O.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/17/2007
Last Updated
7/8/2007

Contact Information

Practice Location

47626 Cheryl Ct, Shelby Township, MI 48315-4708

Unlisted Fax

Mailing Location

47626 Cheryl Ct, Shelby Township, MI 48315-4708

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License 2807 Michigan