Organization Active NPI

Charles J Hofer MD PC

  • Ophthalmology Physician
  • Peoria, AZ
National Provider Identifier
1811090087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10109 Issued in AZ
Legal business name
CHARLES J HOFER MD PC
Practice address
13340 N 94TH Dr
Peoria, AZ 85381-4236
Phone
(623) 972-1101
Fax
(623) 933-2952
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles J Hofer, MD
Title
President
Phone
(623) 972-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 10109 AZ Primary

Addresses

Primary practice location

13340 N 94TH Dr
Peoria, AZ 85381-4236

Mailing address

13340 N 94TH Dr
Peoria, AZ 85381-4236
Phone (623) 972-1101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811090087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 N 94TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814236",
            "telephone_number": "623-972-1101",
            "fax_number": "623-933-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 N 94TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814236",
            "telephone_number": "623-972-1101",
            "fax_number": "623-933-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J HOFER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-972-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "10109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.