Provider Demographics
NPI:1598949471
Name:HOYING, JENNIFER S (OD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:S
Last Name:HOYING
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 1:1861 TOWNE PARK DR STE A
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-2067
Mailing Address - Country:US
Mailing Address - Phone:937-339-7956
Mailing Address - Fax:
Practice Address - Street 1:1861 TOWNE PARK DR STE A
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-2067
Practice Address - Country:US
Practice Address - Phone:937-339-7956
Practice Address - Fax:937-339-6860
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003485A152W00000X
OH6466152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200959530Medicaid
IN151880CMedicare PIN