Provider Demographics
NPI:1407055643
Name:HOHENBERGER, ERIC L (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:L
Last Name:HOHENBERGER
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 1:5780 BROME CIR
Mailing Address - Street 2:
Mailing Address - City:WALBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43465-9797
Mailing Address - Country:US
Mailing Address - Phone:614-542-7805
Mailing Address - Fax:
Practice Address - Street 1:4011 SECOR RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4266
Practice Address - Country:US
Practice Address - Phone:419-474-8833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5723152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist