Greg N Hogan, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

T3884TG Issued in TX

Practice address

4825 50TH St
Lubbock, TX 79414-3428

Phone

(806) 797-1173

Fax

(806) 793-2807

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 and National Provider Directory roles.

• Greg N Hogan PA

  • Optometrist
  • Lubbock, TX
  • NPI 1396068524
  NPD Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1578624128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143428",
            "telephone_number": "806-797-1173",
            "fax_number": "806-793-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143428",
            "telephone_number": "806-797-1173",
            "fax_number": "806-793-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "GREG",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "T3884TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093093502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roman Tyler Hodson
• Marissa Dyan Hoelscher, MS-CCC-SLP
• Ashley Hoffman
• Glenn Gregory Hoffman, LPC
• Jacob Timothy Hoffman
• Kami Hogan
• Lamicha M Hogan, FNPC
• Carol Suzanne Hogg, PT
• Jennifer Lynn Hohrein
• William Eugene Hoke

• Optometrist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.