KEITH R HOFFMAN (NPI# 1558344804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558344804 |
| Entity Type | Individual |
| Full Name | KEITH R HOFFMAN |
| Credential | OD |
| Practice Address |
3500 N Duke St Ste 1 Durham NC 27704-1707 |
| Mailing Address |
14 Consultant Pl Suite 100 Durham NC 27707-6320 |
| Practice Telephone | 9195952020 |
| Mailing Telephone | 9194933668 |
| Mailing Fax Number | 9194905594 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1076 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA US DEPT OF JUSTICE | MH5065739 | 01 | |
| NC | BCBS | 0911H | 01 |
| US DRUG ENFORCEMENT ADMIN | MH5065739 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1058 West Club Blvd. - Northgate Mall, Durham, NC 277011115 | 9192867732 | 9192863451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073125787 | Keith Andrew Hoffman | Pharmacist | 22829 State Road 54, Land O Lakes, FL 34639-5227 | 2020-08-24 |
| 1902234073 | Keith Hoffman | Social Worker | 5407 N Charles St, Baltimore, MD 21210-2024 | 2013-10-28 |
| 1376685149 | Keith Michael Hoffman | Social Worker | 10 N Main St, Mount Clemens, MI 48043-5668 | 2007-02-12 |
| 1598838351 | Keith David Hoffman | Dentist | 1500 E Katella Ave, Suite R, Orange, CA 92867 | 2006-11-17 |
| 1417047473 | Keith Hoffman | Counselor | 115 Liberty St, Bath, NY 14810-1508 | 2006-10-13 |
| Street Address |
3500 N DUKE ST STE 1 |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376093245 | Tyler Mcclarnon | Optometrist | 3500 N Duke St Ste 1, Durham, NC 27704-1707 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420399 | Kyle Kiyoshi Harada | Optometrist | 1010 Stillwell Dr Unit 2422, Durham, NC 27707-6281 | 2020-09-03 |
| 1285107136 | Inview Eye Care 2, Od, Pllc | Optometrist | 1125 W Nc Highway 54 Ste 315, Durham, NC 27707-5717 | 2019-01-03 |
| 1346792918 | Greyssy Lizeth Haider | Optometrist | 6910 Fayetteville Rd Ste 296, Durham, NC 27713-8286 | 2016-10-31 |
| 1265704316 | Eye Care Associates Od Pa | Optometrist | 7001 Fayetteville Rd, Suite 105, Durham, NC 27713-9643 | 2012-02-06 |
| 1487935995 | Darryl E Glover Jr. | Optometrist | 7001 Fayetteville Rd Ste 105, Durham, NC 27713-9643 | 2011-08-30 |
| 1851578371 | Eye Care Associates Od Pa | Optometrist | 3500 N Duke St, Suite 1, Durham, NC 27704-1707 | 2008-01-28 |
| 1326181058 | Keith Allen Merrill | Optometrist | 3101 Shannon Rd, Durham, NC 27707-3571 | 2007-02-14 |
| 1942347463 | David Campbell Horton | Optometrist | 3500 N Roxboro St, Durham, NC 27704-2741 | 2007-01-31 |
| 1154470201 | Raymond J Legen | Optometrist | 5108 N Roxboro St, Durham, NC 27704-1420 | 2007-01-09 |
| 1356382469 | Naheed Kassam | Optometrist | 6910 Fayetteville Road, Suite 296, Durham, NC 27713-8286 | 2006-06-09 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.