Provider Demographics
NPI:1003986662
Name:HOELSCHER, KATRINA BAUMANN (OD)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:BAUMANN
Last Name:HOELSCHER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7848 BAYER DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069
Mailing Address - Country:US
Mailing Address - Phone:513-759-0859
Mailing Address - Fax:
Practice Address - Street 1:2801 CUNNINGHAM DRIVE
Practice Address - Street 2:
Practice Address - City:EVENDALE
Practice Address - State:OH
Practice Address - Zip Code:45241
Practice Address - Country:US
Practice Address - Phone:513-769-1184
Practice Address - Fax:513-769-1264
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18002640B152W00000X
OH5582152W00000X
OH2496152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist