Provider Demographics
NPI:1760704555
Name:HOHENBARY EYE CARE, P.C.
Entity Type:Organization
Organization Name:HOHENBARY EYE CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:G. JOSHUA
Authorized Official - Middle Name:T
Authorized Official - Last Name:HOHENBARY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:217-881-0122
Mailing Address - Street 1:15022 N HAARMANN AVE
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-4484
Mailing Address - Country:US
Mailing Address - Phone:217-881-0122
Mailing Address - Fax:217-881-0122
Practice Address - Street 1:1204 AVENUE OF MID AMERICA
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-4715
Practice Address - Country:US
Practice Address - Phone:217-342-2547
Practice Address - Fax:217-342-6294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-19
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL060008636152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty