Provider Demographics
NPI:1659683118
Name:HOELSCHER OPTOMETRY
Entity Type:Organization
Organization Name:HOELSCHER OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOELSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-284-9292
Mailing Address - Street 1:PO BOX 755
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45071-0755
Mailing Address - Country:US
Mailing Address - Phone:513-284-9292
Mailing Address - Fax:
Practice Address - Street 1:2801 CUNNINGHAM RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-3270
Practice Address - Country:US
Practice Address - Phone:513-769-1184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5582152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2496OtherOPTOMETRY THERAPEUTIC
OH5582-BASICOtherOPTOMETRY LICENSE