Provider Demographics
NPI:1356340210
Name:HOFFMAN, RICHARD S (MD, CPI)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:S
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD, CPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 OAK ST STE 5
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7701
Mailing Address - Country:US
Mailing Address - Phone:541-687-2110
Mailing Address - Fax:541-484-3883
Practice Address - Street 1:1550 OAK ST STE 5
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7701
Practice Address - Country:US
Practice Address - Phone:541-687-2110
Practice Address - Fax:541-484-3883
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD18605207WX0120X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
180020263OtherRAILROAD MEDICARE
OR059209Medicaid
180043384OtherRAILROAD MEDICARE
180020263OtherRAILROAD MEDICARE
R111930Medicare PIN
180043384OtherRAILROAD MEDICARE