NPIMap

Organization Active NPI

KD Hofmann Eye Care Professionals Inc.

  • Optometrist
  • Eaton, OH
National Provider Identifier
1053744722
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6202 Issued in OH
Legal business name
KD HOFMANN EYE CARE PROFESSIONALS INC.
Practice address
309 Eaton Lewisburg Rd
Eaton, OH 45320-1104
Phone
(937) 456-5559
Fax
(937) 456-1089
NPI assigned
Aug 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Dr. Karl Hofmann, ODNPI 1225476179
Title
Doctor/Owner
Phone
(937) 456-5559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6202 OH Primary

Addresses

Primary practice location

309 Eaton Lewisburg Rd
Eaton, OH 45320-1104

Mailing address

PO Box 478
Eaton, OH 45320-0478
Phone (937) 456-5559

Other identifiers 1

IdentifierTypeStateIssuer
6202OtherOHSTATE LICENSE

Other names 1

  • Miami Valley Vision Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131217001815 OH Part B Supplier - Clinic/Group Practice 0244467363 Receives reassigned benefits from 1 practitioner
Practice locations: Eaton, OH
O20141029000899 OH DME Supplier - Physician - OptometristDME Supplier - Optician 0244467363 Practice locations: Eaton, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
KD Hofmann Eye Care Professionals I309 Eaton Lewisburg Rd, Eaton, OH 45320-1104(937) 456-5559 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Nov 7, 2013

National Provider Directory

National Provider Directory

Locations

309 Lewisburg Rd
Eaton, OH 45320
Phone (937) 456-5559

309 Eaton Lewisburg Rd
#478
Eaton, OH 45320

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1053744722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 478",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453200478",
            "telephone_number": "937-456-5559",
            "fax_number": "937-456-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 EATON LEWISBURG RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453201104",
            "telephone_number": "937-456-5559",
            "fax_number": "937-456-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD HOFMANN EYE CARE PROFESSIONALS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "HOFMANN",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "937-456-5559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6202",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Valley Vision Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miami Valley Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.