Individual
DR. CHRISTOPHER HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5023 MUD LN, 110, LOUISVILLE, KY 40229-2800
(502) 968-2015
(502) 964-1915
Mailing address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 459-2020
(502) 456-5925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1567DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000623255
BCBS ANTHEM
KY
01
—
5419240011
DMERC
KY
05
—
77000966
—
KY
01
—
P00927160
RR MEDICARE
KY
Enumeration date
12/22/2006
Last updated
10/31/2014
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