Individual
DR. BLAKE HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2204 M ST, BELLEVILLE, KS 66935-2244
(402) 469-8835
Mailing address
2510 K ST, BELLEVILLE, KS 66935-2445
(402) 469-8835
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002497
IA
152W00000X
Optometrist
1343
NE
152W00000X
Optometrist
Primary
1870
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026120000
—
NE
05
—
200713600B
—
KS
Enumeration date
07/03/2010
Last updated
05/01/2012
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