Individual provider Active NPI

George Joshua Todd Hohenbary, O.D.

  • Optometrist
  • Effingham, IL
National Provider Identifier
1467546747
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.009657 Issued in IL
Practice address
1204 Avenue of Mid America
Effingham, IL 62401-4715
Phone
(217) 342-2547
Fax
(217) 342-6294
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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 046.009657 IL Primary

Addresses

Primary practice location

1204 Avenue of Mid America
Effingham, IL 62401-4715

Mailing address

15022 N Haarmann Ave
Effingham, IL 62401-4484
Phone (217) 881-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 1, 2016 through Nov 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.009657ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hohenbary Eye Care, P.C. Optometrist Past Accepting new patients

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1467546747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15022 N HAARMANN AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014484",
            "telephone_number": "217-881-0122",
            "fax_number": "217-881-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 AVENUE OF MID AMERICA",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014715",
            "telephone_number": "217-342-2547",
            "fax_number": "217-342-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOHENBARY",
        "first_name": "GEORGE JOSHUA",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.