Douglas John Hodgson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003064A Issued in IN

Practice address

2552 E 3Rd St
Bloomington, IN 47401-7882

Phone

(812) 332-3432

NPI assigned

Nov 13, 2006

Last updated

Apr 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Frontier Eye Care LLC

  • Optometrist
  • Casper, WY
  • NPI 1508141995
  Authorized official Same address or phone
• Alden Vision LLC

  dba Frontier Eye Care

  • Health Service Clinic/Center
  • Casper, WY
  • NPI 1811501216
  NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1316018492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 E 2ND ST # 96438",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094308",
            "telephone_number": "307-277-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017882",
            "telephone_number": "812-332-3432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5880 E 2nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826094389",
            "country_code": "US",
            "telephone_number": "307-472-2020",
            "fax_number": "307-237-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "DOUGLAS",
        "middle_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "268T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003064A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116258600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Hitzeman, O.D.
• HLS Pharmacies, Inc. (HLS Health and Wellness)
• Penny L Hobson, MSN, APRN, NP-C
• Clifton M Hocker Jr. Jr., MD
• Madolyn P Hodges, RBT
• Sarah Evelyn Hodson, MA, CCC-SLP
• Debra Hoesman
• Bryan D Hoff, MD
• Arielle Hoffer
• Miranda Grace Hoffer

• Optometrist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.