Organization Active NPI

Thomas R Hogge PC

  • Optometrist
  • Sterling, IL
National Provider Identifier
1891711123
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MH0212009 Issued in IL
Legal business name
THOMAS R HOGGE PC
Practice address
4006 E Lincolnway
Sterling, IL 61081-9707
Phone
(815) 625-8006
Fax
(815) 625-8799
NPI assigned
Jul 13, 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
Mr. Thomas R Hogge, ODNPI 1649452145
Title
President
Phone
(815) 625-8006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X MH0212009 IL Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X IL
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X IL

Addresses

Primary practice location

4006 E Lincolnway
Sterling, IL 61081-9707

Mailing address

4006 E Lincolnway
Sterling, IL 61081-9707
Phone (815) 625-8006

Other identifiers 1

IdentifierTypeStateIssuer
9884006OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Valley Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100721000749 IL Part B Supplier - Clinic/Group Practice 1850423187 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling, IL

National Provider Directory

National Provider Directory

Locations

4006 E Lincolnway
Sterling, IL 61081
Phone (815) 625-8006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891711123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 E LINCOLNWAY",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610819707",
            "telephone_number": "815-625-8006",
            "fax_number": "815-625-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 E LINCOLNWAY",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610819707",
            "telephone_number": "815-625-8006",
            "fax_number": "815-625-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R HOGGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOGGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-625-8006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "MH0212009",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9884006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling, IL

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.