Justin Warren Hogle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2453 Issued in OK

Practice address

2500 Chandler Rd
Muskogee, OK 74403-5003

Phone

(918) 683-3937

Fax

(918) 683-3945

NPI assigned

Jan 28, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Justin W Hogle OD PLLC

  • Optometrist
  • Muskogee, OK
  • NPI 1922019587
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1861679300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CHANDLER RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035003",
            "telephone_number": "918-683-3937",
            "fax_number": "918-683-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CHANDLER RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035003",
            "telephone_number": "918-683-3937",
            "fax_number": "918-683-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGLE",
        "first_name": "JUSTIN",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200066920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Wayne Hobbs, MD
• Lisa Dawn Hodges, PTA
• Melisa Hodges IX, LPC
• Debra Lynne Hofer, RD/LD
• Wendy J Hoff
• Tavry Lynn Hohner
• Tarah Leann Holcomb
• Russell Holder, PA
• Jackie Holland
• Vickie Gaylin Holland, ARNP

• Optometrist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.