Provider Demographics
NPI:1225476179
Name:HOFMANN, KARL (OD)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:
Last Name:HOFMANN
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:PO BOX 478
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:OH
Mailing Address - Zip Code:45320-0478
Mailing Address - Country:US
Mailing Address - Phone:937-456-5559
Mailing Address - Fax:937-456-1089
Practice Address - Street 1:309 EATON LEWISBURG RD
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320-1104
Practice Address - Country:US
Practice Address - Phone:937-456-5559
Practice Address - Fax:937-456-1089
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6202T3117152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist