Ryan M Hogan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT878 Issued in ME

Practice address

216 Main Street
Waterville, ME 04901

Phone

(207) 872-2797

Fax

(207) 872-2793

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kennebec Eyecare PA

  • Optometrist
  • Waterville, ME
  • NPI 1659462067
  NPD (past)
• Kenneth F. Nuzzo, O.D., P.a.

  • Optometrist
  • Hallowell, ME
  • NPI 1184711319
  NPD (past)
• Kenneth F. Nuzzo, O.D., P.a.

  • Optometrist
  • Winthrop, ME
  • NPI 1952572273
  NPD (past)
• Vision Care of Maine LLC

  • Ambulatory Surgical Clinic/Center
  • Bangor, ME
  • NPI 1275629081
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629180120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1438",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "04903",
            "telephone_number": "207-872-2797",
            "fax_number": "207-872-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MAIN STREET",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "04901",
            "telephone_number": "207-872-2797",
            "fax_number": "207-872-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "RYAN",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "061399",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hoai-Nam Hoang, MD
• Hobbi Home Care
• Richard F Hobbs III, MD
• Elizabeth Anne Hoffman, LCPC-C
• Michael P Hofmann, M.D.
• Laura Holcomb, PH. D.
• Theresa Holden
• Anna Marie Holdener, LMSW-CC
• Holistic Acupuncture
• Marshall T. Hollinger, C.N.P.

• Optometrist in Waterville, ME
• Providers in Waterville, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.