Individual
DR. MICCAH ALLYSON HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4684 S US HIGHWAY 41, TERRE HAUTE, IN 47802-5404
(812) 232-4925
Mailing address
2022 E LUKES CT, BLOOMINGTON, IN 47401-9485
(812) 219-7039
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003224
IN
Other
Enumeration date
01/30/2007
Last updated
01/29/2019
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