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NPI Code Detail

MEDICARE: JAMIE N HOGAN OD

MEDICARE: JAMIE N HOGAN OD
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
1152W00000XOptometrist3027WI
2152W00000XOptometrist046009495IL
3152W00000XOptometristOPC3899FL

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 : 1750320826
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE N HOGAN OD
Provider Business Mailing Address
First Line : 9617 GULF RESEARCH LN
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4560
Country : US
Telephone Number : 239-418-0999
Fax Number : 239-418-0091
Provider Business Practice Location Address
First Line : 9617 GULF RESEARCH LN
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4560
Country : US
Telephone Number : 239-418-0999
Fax Number : 239-418-0091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 06/11/2025

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Directions to “ JAMIE N HOGAN OD” Practice Location

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