Organization Active NPI

Michael Hodovanic OD

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1720245863
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3706 Issued in OH
Legal business name
MICHAEL HODOVANIC OD
Practice address
24 Compton Rd
Suite 204
Cincinnati, OH 45216-1000
Phone
(513) 821-5710
Fax
(513) 821-5711
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Michael J Hodovanic III, O.D.
Title
Owner
Phone
(513) 821-5710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3706 OH Primary

Addresses

Primary practice location

24 Compton Rd
Suite 204
Cincinnati, OH 45216-1000

Mailing address

24 Compton Rd
Suite 204
Cincinnati, OH 45216-1000
Phone (513) 821-5710

National Provider Directory

National Provider Directory

Locations

24 Compton Rd
Ste 204
Cincinnati, OH 45216
Phone (513) 821-4111

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1720245863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COMPTON RD",
            "address_2": "SUITE 204",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452161000",
            "telephone_number": "513-821-5710",
            "fax_number": "513-821-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COMPTON RD",
            "address_2": "SUITE 204",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452161000",
            "telephone_number": "513-821-5710",
            "fax_number": "513-821-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL HODOVANIC OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "HODOVANIC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-821-5710",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.