Individual provider Active NPI

Douglas D Hocking, O.D.

  • Optometrist
  • Saint Clairsville, OH
National Provider Identifier
1659363406
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3416/T746 Issued in OH
Practice address
107 Plaza Dr
Suite L
Saint Clairsville, OH 43950-8786
Phone
(740) 695-0444
Fax
(740) 695-0444
NPI assigned
Aug 18, 2005
Reactivated
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3416/T746 OH Primary

Addresses

Primary practice location

107 Plaza Dr
Suite L
Saint Clairsville, OH 43950-8786

Mailing address

107 Plaza Dr
Suite L
Saint Clairsville, OH 43950-8735
Phone (740) 695-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3416OHMDPeriodontist
3416/T746OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1659363406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PLAZA DR",
            "address_2": "SUITE L",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508735",
            "telephone_number": "740-695-0444",
            "fax_number": "740-695-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PLAZA DR",
            "address_2": "SUITE L",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508786",
            "telephone_number": "740-695-0444",
            "fax_number": "740-695-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKING",
        "first_name": "DOUGLAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-09-09",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3416/T746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.