Individual
DR. MARY C. HOHENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
935 N HIGHWAY 67, FLORISSANT, MO 63031-2917
(314) 838-7644
(800) 432-6004
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
(800) 432-6004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046-008348
IL
152W00000X
Optometrist
Primary
TO2898
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000091342
MEDICARE PART B
MO
01
—
108046
BLUE CROSS BLUE SHIELD OF
MO
01
—
110973
EYEMED
MO
01
—
215634
GHP
—
01
—
22-02300
UNITED HEALTHCARE
MO
01
—
22-02300
OPTICARE MEDICARE COMPLET
—
05
—
313059206
—
MO
05
—
313059214
—
MO
01
—
382671
HEALTHLINK
—
01
—
410048082
RR MEDICARE
IL
01
—
4182
HEALTHCARE USA
MO
01
—
P00402868
RR MEDICARE
MO
Enumeration date
03/07/2006
Last updated
04/21/2017
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