Organization Active NPI

David Nolan Hoffman Optometric Inc

  • Eyewear Supplier
  • Long Beach, CA
National Provider Identifier
1336334846
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPT12584 Issued in CA
Legal business name
DAVID NOLAN HOFFMAN OPTOMETRIC INC
Practice address
8165 E Wardlow Rd
Long Beach, CA 90808-3204
Phone
(562) 598-7674
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
David HoffmanNPI 1619956695
Title
Doctor
Phone
(562) 598-7674

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
Eyewear Supplier 332H00000X OPT12584 CA Primary

Addresses

Primary practice location

8165 E Wardlow Rd
Long Beach, CA 90808-3204

Mailing address

8165 E Wardlow Rd
Long Beach, CA 90808-3204
Phone (562) 598-7674

Other identifiers 1

IdentifierTypeStateIssuer
SD0125840MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050513000283 CA Part B Supplier - Clinic/Group Practice 4486695095 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

8165 E Wardlow Rd
Long Beach, CA 90808
Phone (562) 598-7673

Practitioners & affiliated clinicians

Practitioners 1

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": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1336334846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8165 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083204",
            "telephone_number": "562-598-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8165 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083204",
            "telephone_number": "562-598-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID NOLAN HOFFMAN OPTOMETRIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "562-598-7674"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "OPT12584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0125840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.