NPI 1003192162 · live from the CMS NPI Registry
Blake J. Hoffman, OD, PA
Optometrist in Belleville, KS. National Provider Identifier 1003192162, active.
NPI record
| NPI | 1003192162 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2204 M St, Belleville, KS 66935 |
| Practice phone | 785-527-2965 |
| Mailing address | Po Box 130, Belleville, KS 66935 |
| Enumerated | November 2, 2011 |
| Last updated | November 2, 2011 |
| Authorized official | Blake Hoffman, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1870 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.