Individual provider Active NPI

John Hoehn, OD

  • Optometrist
  • La Crosse, WI
National Provider Identifier
1770609174
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1586 Issued in WI
Practice address
2104 State Road 16
La Crosse, WI 54601-3046
Phone
(608) 782-7127
Fax
(608) 782-7124
NPI assigned
Mar 21, 2007
Last updated
Dec 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 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 1586 WI Primary

Addresses

Primary practice location

2104 State Road 16
La Crosse, WI 54601-3046

Mailing address

2104 State Road 16
La Crosse, WI 54601-3046
Phone (608) 782-7127

Other identifiers 1

IdentifierTypeStateIssuer
38512500MedicaidWI

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
1586WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Fashions LTD Optometrist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230249600000",
    "number": "1770609174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 STATE ROAD 16",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013046",
            "telephone_number": "608-782-7127",
            "fax_number": "608-782-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 STATE ROAD 16",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013046",
            "telephone_number": "608-782-7127",
            "fax_number": "608-782-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEHN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38512500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.