Healthcare Provider Details

I. General information

NPI: 1154166825
Provider Name (Legal Business Name): KATHRYN HOHMAN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 CHAPPEL DR
PERRYSBURG OH
43551-7256
US

IV. Provider business mailing address

26801 MOHAWK DR
PERRYSBURG OH
43551-5403
US

V. Phone/Fax

Practice location:
  • Phone: 419-873-7446
  • Fax:
Mailing address:
  • Phone: 567-702-0781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.007312
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: