BURBANK FAMILY OPTOMETRY INC NPI 1114069390

NPI Information

NPI: 1114069390
Provider Name: BURBANK FAMILY OPTOMETRY INC

Former Legal Business Name: WAYNE HOEFT & ASSOCIATES

Classification: Optometrist - 152WL0500X
Entity Type: Organization

Specialization: Low Vision Rehabilitation

Address:
907 N SAN FERNANDO BLVD
BURBANK, CA
ZIP 91504
Phone: (818) 846-9075
Get Directions

BURBANK FAMILY OPTOMETRY INC is a low vision rehabilitation optometrist in Burbank, CA. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. BURBANK FAMILY OPTOMETRY INC NPI is 1114069390. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Wayne Hoeft & Associates.

The provider's business location address is:

907 N SAN FERNANDO BLVD
BURBANK, CA
ZIP 91504-326
Phone: (818) 846-9075
Fax: (818) 846-9010

The provider's authorized official is Wayne W Hoeft .
The authorized official title is Optometrist and has the following contact phone number (818) 846-9075.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WC0802X	Optometrist	Corneal and Contact Management	OPT 8494T	CALIFORNIA	No
2	152WL0500X	Optometrist	Low Vision Rehabilitation	OPT 4256 TPA	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DF035Z	OTHER	CALIFORNIA	MEDICARE PTAN (INDIVIDUAL)
2	1114069390	MEDICAID	CALIFORNIA
3	1114069390	MEDICARE NSC	CALIFORNIA
4	DE850A	OTHER	CALIFORNIA	MEDICARE PTAN (GROUP)
5	WY3240	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
6	T69864	MEDICARE UPIN	CALIFORNIA
7	1801851571	OTHER	CALIFORNIA	PROVIDER NPI
8	WOP4256B	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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