Healthcare Provider Details

I. General information

NPI: 1588324537
Provider Name (Legal Business Name): K.M. HOYT OD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S CENTERVILLE RD
STURGIS MI
49091-8245
US

IV. Provider business mailing address

P.O. BOX 7021
STURGIS MI
49091-7021
US

V. Phone/Fax

Practice location:
  • Phone: 269-651-4523
  • Fax: 269-651-7310
Mailing address:
  • Phone: 810-931-0116
  • Fax: 269-651-7310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: KARI MARIE HOYT
Title or Position: OPTOMETRIST
Credential: OD
Phone: 810-931-0116