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NPI Code Detail

MEDICARE: HOGAN EYE CLINIC, P. A.

MEDICARE: HOGAN EYE CLINIC, P. A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianMS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275536690
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOGAN EYE CLINIC, P. A.
Provider Business Mailing Address
First Line : 351 COWAN RD
Second Line :
City : GULFPORT
State : MS
Zip : 39507-2019
Country : US
Telephone Number : 228-896-1120
Fax Number : 228-896-1332
Provider Business Practice Location Address
First Line : 351 COWAN RD
Second Line :
City : GULFPORT
State : MS
Zip : 39507-2019
Country : US
Telephone Number : 228-896-1120
Fax Number : 228-896-1332
Authorized Official
Title or Position : BUSINESS MANAGER
Name : JULIUS GARCIA
Credential :
Telephone Number : 228-896-1120
Provider Enumeration Date : 05/31/2005
Last Update Date : 03/20/2023

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