Healthcare Provider Details

I. General information

NPI: 1043344708
Provider Name (Legal Business Name): HOFFMAN EYECARE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12455 RIDGEDALE DR STE 101
MINNETONKA MN
55305-1786
US

IV. Provider business mailing address

12455 RIDGEDALE DR STE 101
MINNETONKA MN
55305-1786
US

V. Phone/Fax

Practice location:
  • Phone: 952-545-6010
  • Fax: 952-525-0999
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DAVID HOFFMAN
Title or Position: PRESIDENT
Credential:
Phone: 952-545-6010