Individual
DR. WAYNE W HOEFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OP4256T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114069390
FACILITY NPI
CA
01
—
1801851571
NPI
CA
05
—
GSD005180
—
CA
05
—
SD0042561
—
CA
Enumeration date
04/18/2006
Last updated
10/10/2007
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