Organization
BURBANK FAMILY OPTOMETRY INC
Active
Other names
Wayne Hoeft & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE W HOEFT (OPTOMETRIST)
(818) 846-9075
Entity
Organization
Contact information
Practice address
907 N SAN FERNANDO BLVD, BURBANK, CA 91504-4326
(818) 846-9075
(818) 846-9010
Mailing address
907 N SAN FERNANDO BLVD, BURBANK, CA 91504-4326
(818) 846-9075
(818) 846-9010
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
OPT 8494T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPT 4256 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114069390
—
CA
01
—
1801851571
PROVIDER NPI
CA
01
—
DE850A
MEDICARE PTAN (GROUP)
CA
01
—
DF035Z
MEDICARE PTAN (INDIVIDUAL)
CA
Enumeration date
02/13/2007
Last updated
07/10/2012
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