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NPI Code Detail

MEDICARE: DR. CLINT HOXIE O.D.

MEDICARE: DR. CLINT HOXIE O.D.
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
1152WC0802XCorneal and Contact Management Optometrist752MT
2152WP0200XPediatric Optometrist752MT
3152W00000XOptometristOPT-OPT-LIC-752MT

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 : 1578549580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLINT HOXIE O.D.
Provider Business Mailing Address
First Line : PO BOX 880
Second Line :
City : SAINT IGNATIUS
State : MT
Zip : 59865-0880
Country : US
Telephone Number : 406-745-3525
Fax Number :
Provider Business Practice Location Address
First Line : 5 4TH AVE E
Second Line :
City : POLSON
State : MT
Zip : 59860-2117
Country : US
Telephone Number : 406-883-5541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 03/14/2024

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