Organization Active NPI

Brackmann & Hockemeyer Optometry Inc

Doing business as Hockemeyer Family Eye Care

  • Optometrist
  • New Haven, IN
National Provider Identifier
1548442197
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002750B Issued in IN
Legal business name
BRACKMANN & HOCKEMEYER OPTOMETRY INC
Doing business as
Hockemeyer Family Eye Care
Practice address
1010 Boulder Ridge TRL
New Haven, IN 46774-0010
Phone
(260) 493-1505
Fax
(260) 493-2651
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Dr. Troy Stuart Hockemeyer, O.D.NPI 1336131630
Title
Owner
Phone
(260) 493-1505

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18002750B IN Primary

Addresses

Primary practice location

1010 Boulder Ridge TRL
New Haven, IN 46774-0010

Mailing address

1010 Boulder Ridge TRL Ste 1
New Haven, IN 46774-0010
Phone (260) 493-1505

Other identifiers 2

IdentifierTypeStateIssuer
410029181OtherINRR MEDICARE
300086568MedicaidIN

Other names 1

  • Hockemeyer Family Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011000641 IN Part B Supplier - Clinic/Group Practice 7618992413 Receives reassigned benefits from 3 practitioners
Practice locations: New Haven, IN

National Provider Directory

National Provider Directory

Locations

1010 Boulder Ridge Trl
Ste 1
New Haven, IN 46774

10848 Rose Ave
Ste 1
New Haven, IN 46774
Phone (219) 492-2877

Practitioners & affiliated clinicians

Practitioners 3

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": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1548442197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BOULDER RIDGE TRL STE 1",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467740010",
            "telephone_number": "260-493-1505",
            "fax_number": "260-493-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BOULDER RIDGE TRL",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467740010",
            "telephone_number": "260-493-1505",
            "fax_number": "260-493-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACKMANN & HOCKEMEYER OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "HOCKEMEYER",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-493-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002750B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410029181",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300086568",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hockemeyer Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.