Individual provider Active NPI

Eric L Hohenberger, O.D.

  • Optometrist
  • Toledo, OH
National Provider Identifier
1407055643
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5723 Issued in OH
Practice address
4011 Secor Rd
Toledo, OH 43623-4266
Phone
(419) 474-8833
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5723 OH Primary

Addresses

Primary practice location

4011 Secor Rd
Toledo, OH 43623-4266

Mailing address

5780 Brome Cir
Walbridge, OH 43465-9797
Phone (614) 542-7805

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080924000153 OH Practitioner - Optometry 7719054311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

Practice addresses (Care Compare)

4011 Secor Rd
Suite 2
Toledo, OH 43623-4267
Phone (419) 474-8833

8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone (419) 885-5300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5723OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Mar 9, 2020 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Mar 9, 2020 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients

Locations

840 W Boundary St
Perrysburg, OH 43551
Phone (419) 931-2020

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

4011 Secor Rd
Ste 2
Toledo, OH 43623
Phone (419) 474-8833

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: ehohenberger060409@myeyedr.emadirect.md

Organizations & group practices 3

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1407055643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 BROME CIR",
            "city": "WALBRIDGE",
            "state": "OH",
            "postal_code": "434659797",
            "telephone_number": "614-542-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234266",
            "telephone_number": "419-474-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOHENBERGER",
        "first_name": "ERIC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.