Individual provider Active NPI

Elizabeth Meneeley Hofmeister, M.D.

  • Ophthalmology Physician
  • Escondido, CA
National Provider Identifier
1225008733
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G166728 Issued in CA
Practice address
1955 Citracado Pkwy Ste 301
Escondido, CA 92029-4113
Phone
(760) 746-3937
Fax
(760) 746-3991
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101151068 VA
Ophthalmology Physician 207W00000X MD073212L PA
Cornea and External Diseases Specialist Physician 207WX0120X G166728 CA
Ophthalmology Physician 207W00000X G166728 CA Primary

Addresses

Primary practice location

1955 Citracado Pkwy Ste 301
Escondido, CA 92029-4113

Mailing address

Naval Medical Ctr
San Diego, CA 92134-5000
Phone (619) 532-6702

Other practice location 1

34800 Bob Wilson Dr
Dept. of Ophthalmology Naval Medical Center San Diego
San Diego, CA 92134-1098
Phone (619) 532-6702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000556 CA Practitioner - Ophthalmology 7618159336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists of California Medical GroupGroup PAC ID 2365729787, 3 clinicians

Practice addresses (Care Compare)

1802 S Escondido Blvd
Escondido, CA 92025-6536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD073212LPAMDOphthalmology Physician
0101151068VAMDOphthalmology Physician
G166728CAMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists of California Medical Group Ophthalmology CurrentSince Mar 1, 2021 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

1802 S Escondido Blvd
Ste E
Escondido, CA 92025
Phone (760) 746-3937

1955 Citracado Pkwy
Ste 301
Escondido, CA 92029
Phone (760) 489-1458

1802 S Escondido Blvd
Escondido, CA 92025
Phone (760) 743-4393

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1225008733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CTR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921345000",
            "telephone_number": "619-532-6702",
            "fax_number": "619-532-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 CITRACADO PKWY STE 301",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294113",
            "telephone_number": "760-746-3937",
            "fax_number": "760-746-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34800 Bob Wilson Dr",
            "address_2": "Dept. of Ophthalmology Naval Medical Center San Diego",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921341098",
            "country_code": "US",
            "telephone_number": "619-532-6702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFMEISTER",
        "first_name": "ELIZABETH",
        "middle_name": "MENEELEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101151068",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD073212L",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "CA",
            "license": "G166728",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G166728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.