Individual provider Active NPI

Sam Hoffmann, O.D.

  • Optometrist
  • Sheridan, WY
National Provider Identifier
1962434886
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
272T Issued in WY
Practice address
116 S Main St
Sheridan, WY 82801-4224
Phone
(307) 675-2020
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 272T WY Primary

Addresses

Primary practice location

116 S Main St
Sheridan, WY 82801-4224

Mailing address

116 S Main St
Sheridan, WY 82801-4224

Other identifiers 1

IdentifierTypeStateIssuer
106204200MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20040421000709 WY Practitioner - Optometry 6204822778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Eye Care Center IncGroup PAC ID 4789573106, 3 clinicians

Practice addresses (Care Compare)

116 S Main St
Sheridan, WY 82801-4224
Phone (307) 674-7331

Merit-based Incentive Payment System (MIPS)

Final score
79.21 of 100Reported as individual
Quality
58.43
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
718MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Eye Care Center Inc Optometrist CurrentSince Jan 15, 2004 Accepting new patients
Heart Mountain Eyecare Group Past Accepting new patients
Southern Montana Optometric Center, Inc Optometrist Past Accepting new patients

Locations

116 S Main St
Sheridan, WY 82801
Phone (307) 674-7331

Interoperability endpoints

  • Direct secure messaging: hoffmannsam@sheridanec.eyefinity-direct.com

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962434886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014224",
            "telephone_number": "307-675-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "272T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106204200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.