Robert L. Hoffman, O.D.,P.C

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001590A & B Issued in IN

Practice address

1703 Calumet Ave
Suite B
Whiting, IN 46394-1414

Phone

(219) 659-1105

Fax

(219) 659-4855

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Efren Gomez OD an Indiana Professional Corporation

  • Optometrist
  • Whiting, IN
  • NPI 1639604804

  IN

  Medicare reassignment

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2010.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1104892579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 CALUMET AVE",
            "address_2": "SUITE B",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941414",
            "telephone_number": "219-659-1105",
            "fax_number": "219-659-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 CALUMET AVE",
            "address_2": "SUITE B",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941414",
            "telephone_number": "219-659-1105",
            "fax_number": "219-659-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.,P.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001590A & B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN MEDICARE",
            "identifier": "150450B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olga Grbich, RPH
• Hammond Community Ambulatory Care Center L.L.C.
• Hearts Full of Love Consulting & Homecare (Personal Care Services)LLC
• Hendricks County Hospital
• Scott Heuring, COTA
• Ibp Pharmacy Inc
• Isd Renal Inc
• Aleida Anahi Jaimes-Correa, D.T
• Jeffrey a. Stolarz, DDS PC
• Kenneth Michael Fried

• All providers in Whiting, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.