Individual provider Active NPI

Robert K Hoglund, O.D.

  • Optometrist
  • Cleona, PA
National Provider Identifier
1598745879
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001678 Issued in PA
Practice address
233 W Penn Ave
Cleona, PA 17042-3230
Phone
(717) 272-0581
Fax
(717) 274-5889
NPI assigned
Jan 20, 2006
Last updated
Jul 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001678 PA Primary

Addresses

Primary practice location

233 W Penn Ave
Cleona, PA 17042-3230

Mailing address

233 W Penn Ave
Cleona, PA 17042-3230
Phone (717) 272-0581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050930000155 PA Practitioner - Optometry 3779518519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

233 W Penn Ave
BMD Eye Lab
Cleona, PA 17042-3230
Phone (717) 272-0581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bouquet Mulligan Demaio Eye Professionals Optometrist CurrentSince Jul 1, 2005 Accepting new patients
Jason Lam O.D., M.B.a., Inc. Optometrist Past Accepting new patients

Locations

233 W Penn Ave
Cleona, PA 17042
Phone (717) 270-1995

1676 S Market St
Elizabethtown, PA 17022
Phone (717) 272-0581

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1598745879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W PENN AVE",
            "city": "CLEONA",
            "state": "PA",
            "postal_code": "170423230",
            "telephone_number": "717-272-0581",
            "fax_number": "717-274-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W PENN AVE",
            "city": "CLEONA",
            "state": "PA",
            "postal_code": "170423230",
            "telephone_number": "717-272-0581",
            "fax_number": "717-274-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGLUND",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleona, PA

Sources for this page

Verify at the official NPI Registry.