Individual provider Active NPI

Robert Francis Hofmann, M.D.

  • Ophthalmology Physician
  • Fort Walton Beach, FL
National Provider Identifier
1770745960
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME103710 Issued in FL
Practice address
1034 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547-6639
Phone
(850) 862-4001
Fax
(850) 862-1612
NPI assigned
Jun 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G1918 TX
Ophthalmology Physician 207W00000X ME103710 FL Primary

Addresses

Primary practice location

1034 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547-6639

Mailing address

1034 Mar Walt Dr
Unit 200
Fort Walton Beach, FL 32547-6637
Phone (813) 908-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090603000604 FL Practitioner - Ophthalmology 1850440934 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G1918TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart J Kaufman MD & Assoc PA Ophthalmology CurrentSince Oct 30, 2017 Accepting new patients
Stuart J Kaufman MD & Assoc PA CurrentSince Oct 30, 2017 Accepting new patients

Locations

1814 W County Road 48
Bushnell, FL 33513
Phone (352) 568-0600

6329 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 788-7616

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1770745960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 MAR WALT DR",
            "address_2": "UNIT 200",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476637",
            "telephone_number": "813-908-2020",
            "fax_number": "813-908-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MAR WALT DR",
            "address_2": "STE 200",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476639",
            "telephone_number": "850-862-4001",
            "fax_number": "850-862-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-28",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G1918",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME103710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.