Individual provider Active NPI

Craig Whitmer Hoeft, O.D.

  • Optometrist
  • Sylmar, CA
National Provider Identifier
1942360276
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8494 TPL Issued in CA
Practice address
12661 Glenoaks Blvd
Sylmar, CA 91342-4748
Phone
(818) 367-2171
Fax
(818) 364-7197
NPI assigned
Dec 8, 2006
Last updated
May 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8494 TPL CA Primary

Addresses

Primary practice location

12661 Glenoaks Blvd
Sylmar, CA 91342-4748

Mailing address

12661 Glenoaks Blvd
Sylmar, CA 91342-4748
Phone (818) 367-2171

Other identifiers 3

IdentifierTypeStateIssuer
SD0084940MedicaidCA
GSD005180MedicaidCA
OP8494OtherCASTATE LICENSE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070314000589 CA Practitioner - Optometry 0345343174 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Sylmar, CA; Burbank, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burbank Family Optometry IncGroup PAC ID 0345371571, 2 clinicians

Practice addresses (Care Compare)

1112 W Burbank Blvd
Suite 204
Burbank, CA 91506-1455
Phone (818) 846-9075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8494 TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig W Hoeft PastSince Jan 1, 1990 Accepting new patients
The Center for the Partially Sighted Optometrist Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1942360276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12661 GLENOAKS BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424748",
            "telephone_number": "818-367-2171",
            "fax_number": "818-364-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12661 GLENOAKS BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424748",
            "telephone_number": "818-367-2171",
            "fax_number": "818-364-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEFT",
        "first_name": "CRAIG",
        "middle_name": "WHITMER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8494 TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0084940",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD005180",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OP8494",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.