Provider Demographics
NPI:1134125321
Name:HOGGARTH, CURTIS C (OD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:C
Last Name:HOGGARTH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12370 HESPERIA RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-7719
Mailing Address - Country:US
Mailing Address - Phone:760-261-6422
Mailing Address - Fax:760-269-1283
Practice Address - Street 1:12408 HESPERIA RD
Practice Address - Street 2:SUITE 7
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-7718
Practice Address - Country:US
Practice Address - Phone:760-261-6422
Practice Address - Fax:760-269-1283
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8743T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0087431Medicare ID - Type Unspecified
CAU09592Medicare UPIN