Dr. Albert J. Hoffman, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3540 T235 Issued in OH

Legal business name

DR. ALBERT J. HOFFMAN, INC.

Practice address

237 Sandusky St
Conneaut, OH 44030-2525

Phone

(440) 593-4005

Fax

(440) 593-5706

NPI assigned

Jul 3, 2006

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Albert Joseph Hoffman, O.D.NPI 1346422417

Title

President

Phone

(440) 593-4005

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Albert Joseph Hoffman, O.D.

  • Optometrist
  • Conneaut, OH
  • NPI 1346422417
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1609805266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440300117",
            "telephone_number": "440-593-4005",
            "fax_number": "440-593-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 SANDUSKY ST",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302525",
            "telephone_number": "440-593-4005",
            "fax_number": "440-593-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALBERT J. HOFFMAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-593-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3540 T235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "000000132058",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "001540173",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERI HEALTH --DAVIS VISI",
            "identifier": "82693",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545048",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MINNESOTA",
            "identifier": "9H271HO",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Deguire, PH.D.
• Joseph Anthony Denunzio, D.D.S.
• David Michael Dipofi, PMHNP-BC
• Elaine Ellen Dombrowski, MSW, LSW
• Monique A Dominick, APRN FNP
• Sharon Eagan, D.C.
• John Martin Engelmann, RN
• Nichole Jean Engelmann, RN
• Es3 Management Inc. (Lake Pointe Rehabilitation and Nursing Center)
• Trisha Mae Foltz, LPN

• Optometrist in Conneaut, OH
• Providers in Conneaut, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.