Organization Active NPI

Frederick J Hochalter OD LTD

  • Eyewear Supplier
  • Stillwater, MN
National Provider Identifier
1811148661
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2088 Issued in MN
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

Updated by the provider on Sep 21, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0819960001OtherMNPTAN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.