Individual
DR. GARY MARK HOFFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
19022 FREEPORT AVE NW, SUITE H, ELK RIVER, MN 55330-4767
(763) 441-1055
(763) 441-7024
Mailing address
19022 FREEPORT AVE NW, SUITE H, ELK RIVER, MN 55330-4767
(763) 441-1055
(763) 441-7024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1555
MN
152WC0802X
Corneal and Contact Management Optometrist
1555
MN
152WP0200X
Pediatric Optometrist
1555
MN
152WX0102X
Occupational Vision Optometrist
1555
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0657001
PREFERRED ONE
MN
01
—
115816
UCARE
MN
05
—
181823600
—
MN
01
—
22-02701
MEDICA
MN
01
—
410047337
RAILROAD MEDICARE
MN
01
—
HP17962
HEALTH PARTNERS
MN
01
—
ON399HO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/07/2006
Last updated
05/08/2008
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