Provider Demographics
NPI:1740224609
Name:HOBBS, WILLIAM ALEXANDER JR (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ALEXANDER
Last Name:HOBBS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 LANGHORNE ROAD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1424
Mailing Address - Country:US
Mailing Address - Phone:434-845-2020
Mailing Address - Fax:434-845-2045
Practice Address - Street 1:2108 LANGHORNE ROAD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1424
Practice Address - Country:US
Practice Address - Phone:434-845-2020
Practice Address - Fax:434-845-2045
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101019273207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
406181319OtherRAILROAD MEDICARE
VA006358381Medicaid
VA010962OtherANTHEM
181950683Medicare PIN
VA00X702H02Medicare PIN
VAC10482Medicare PIN
VA010962OtherANTHEM