Provider Demographics
NPI:1568457810
Name:HOFFMAN, ABBEY C (OD)
Entity Type:Individual
Prefix:DR
First Name:ABBEY
Middle Name:C
Last Name:HOFFMAN
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 1:373 MERIDIAN PARKE LN
Mailing Address - Street 2:STE E
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-9419
Mailing Address - Country:US
Mailing Address - Phone:317-535-3935
Mailing Address - Fax:317-535-3905
Practice Address - Street 1:373 MERIDIAN PARKE LN
Practice Address - Street 2:STE E
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-9419
Practice Address - Country:US
Practice Address - Phone:317-535-3935
Practice Address - Fax:317-886-4945
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003165152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INU94271Medicare UPIN
IN247470BMedicare PIN
IN5767090001Medicare NSC