Provider Demographics
NPI:1649469602
Name:HOEL, DAVID CHRISTOPHER (OD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CHRISTOPHER
Last Name:HOEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 575
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:MO
Mailing Address - Zip Code:64601-0575
Mailing Address - Country:US
Mailing Address - Phone:660-707-0600
Mailing Address - Fax:660-707-0611
Practice Address - Street 1:883 FAIRWAY CHADWICK PLAZA
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:MO
Practice Address - Zip Code:64601-0575
Practice Address - Country:US
Practice Address - Phone:660-707-0600
Practice Address - Fax:660-707-0611
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000146279152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO31128036OtherBLUE CROSS & BLUE SHIELD
MO5061440001OtherDMERC
MO5711691OtherAETNA
MOP00024797OtherMEDICARE RAILROAD
MO5711691OtherAETNA
MOU82955Medicare UPIN