Active NPI
Robert Francis Hofmann, M.D.
- Ophthalmology Physician
- Fort Walton Beach, FL
National Provider Identifier
1770745960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME103710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1918 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stuart J Kaufman MD & Assoc PA | Ophthalmology | Current | Accepting new patients |
| Stuart J Kaufman MD & Assoc PA | Current | 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.
-
- Ophthalmology Physician
- Zephyrhills, FL
- NPI 1083838692
-
- Durable Medical Equipment & Medical Supplies
- Wesley Chapel, FL
- NPI 1861839532
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.