Active NPI
Frederick J Hochalter OD LTD
- Eyewear Supplier
- Stillwater, MN
National Provider Identifier
1811148661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 2088
- Legal business name
- FREDERICK J HOCHALTER OD LTD
- Practice address
- 6303 Osgood Ave N
Stillwater, MN 55082-6101 - Phone
- (651) 439-4265
- Fax
- (651) 439-8602
- NPI assigned
- Oct 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Craig Hochhalter, O.D.
- Title
- Owner
- Phone
- (651) 439-4265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 2088 | MN | Primary |
Addresses
Primary practice location
6303 Osgood Ave N
Stillwater, MN 55082-6101
Mailing address
6303 Osgood Ave N
Stillwater, MN 55082-6101
Phone (651) 439-4265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0819960001 | Other | MN | PTAN |
National Provider Directory
National Provider DirectoryLocations
6303 Osgood Ave N
Stillwater, MN 55082
Phone (651) 383-4800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285027200000",
"number": "1811148661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 OSGOOD AVE N",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826101",
"telephone_number": "651-439-4265",
"fax_number": "651-439-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 OSGOOD AVE N",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826101",
"telephone_number": "651-439-4265",
"fax_number": "651-439-8602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREDERICK J HOCHALTER OD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-09",
"last_updated": "2010-09-21",
"status": "A",
"authorized_official_last_name": "HOCHHALTER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CRAIG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-439-4265",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MN",
"license": "2088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0819960001",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.