Organization Active NPI

A. Hoffman Enterprises

  • Optometrist
  • Hicksville, OH
National Provider Identifier
1093250573
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
A. HOFFMAN ENTERPRISES
Doing business as
Hicksville Family Eye Care
Practice address
203 N Main St
Hicksville, OH 43526-1120
Phone
(419) 542-7741
Fax
(419) 542-7742
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Andrew David Hoffman, ODNPI 1760793251
Title
Provider
Phone
(260) 415-7527

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

203 N Main St
Hicksville, OH 43526-1120

Mailing address

203 N Main St
Hicksville, OH 43526-1120
Phone (419) 542-7741

Other names 1

  • Hicksville Family Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170317001304 OH Part B Supplier - Clinic/Group Practice 9638454457 Receives reassigned benefits from 1 practitioner
Practice locations: Hicksville, OH

National Provider Directory

National Provider Directory

Locations

203 N Main St
Hicksville, OH 43526
Phone (419) 542-7741

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": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1093250573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N MAIN ST",
            "city": "HICKSVILLE",
            "state": "OH",
            "postal_code": "435261120",
            "telephone_number": "419-542-7741",
            "fax_number": "419-542-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N MAIN ST",
            "city": "HICKSVILLE",
            "state": "OH",
            "postal_code": "435261120",
            "telephone_number": "419-542-7741",
            "fax_number": "419-542-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. HOFFMAN ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "260-415-7527",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hicksville Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hicksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.