Blake J. Hoffman, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1870 Issued in KS

Legal business name

BLAKE J. HOFFMAN, OD, PA

Practice address

2204 M St
Belleville, KS 66935-2244

Phone

(785) 527-2965

NPI assigned

Nov 2, 2011

Last updated

Nov 2, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Blake Hoffman, O.D.NPI 1225340466

Title

President

Phone

(785) 527-2965

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blake Hoffman, O.D.

  • Optometrist
  • Belleville, KS
  • NPI 1225340466
  Medicare reassignment NPD Authorized official
• Michael J Keefer, O.D.

  • Optometrist
  • Belleville, KS
  • NPI 1508905126
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1003192162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "BELLEVILLE",
            "state": "KS",
            "postal_code": "669350130",
            "telephone_number": "785-527-2965",
            "fax_number": "785-527-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 M ST",
            "city": "BELLEVILLE",
            "state": "KS",
            "postal_code": "669352244",
            "telephone_number": "785-527-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE J. HOFFMAN, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-527-2965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nolan Jackson Beavers, M.D,
• Belleville Chiropractic Clinic
• Belleville Healthcare and Rehabilitation Center LLC (Belleville Healthcare and Rehabilitation Center)
• Belleville Medical Clinic, P.a.
• Bretney Belvill, LCPC
• Jaycee Blazek
• Tosha Bowen, PHARMD
• Angela Bunger
• Central Plains Respiratory & Medical, LLC
• Joshua Chapman, MD

• Optometrist in Belleville, KS
• Providers in Belleville, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.