Provider Demographics
NPI:1639211402
Name:HOGAN EYE ASSOCIATES INC.
Entity Type:Organization
Organization Name:HOGAN EYE ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRY
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:603-224-3351
Mailing Address - Street 1:133 LOUDON RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5611
Mailing Address - Country:US
Mailing Address - Phone:603-224-3351
Mailing Address - Fax:603-224-7575
Practice Address - Street 1:133 LOUDON RD
Practice Address - Street 2:SUITE 5
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5611
Practice Address - Country:US
Practice Address - Phone:603-224-3351
Practice Address - Fax:603-224-7575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0540152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty