DR. GARY MARK HOFFARD O.D. NPI 1366482473

NPI Information

  • NPI: 1366482473
  • Provider Name: DR. GARY MARK HOFFARD, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19022 FREEPORT AVE NW
    SUITE H
    ELK RIVER, MN
    ZIP 55330
  • Phone: (763) 441-1055

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NPI Details

DR. Gary Mark Hoffard, O.D. is an optometrist in Elk River, MN. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Gary Mark Hoffard, O.D. NPI is 1366482473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19022 FREEPORT AVE NW
SUITE H
ELK RIVER, MN
ZIP 55330-767
Phone: (763) 441-1055
Fax: (763) 441-7024

The NPI 1366482473 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/7/2006 and was last updated on 5/8/2008.

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
1152WC0802XOptometristCorneal and Contact Management1555MINNESOTANo
2152WP0200XOptometristPediatrics1555MINNESOTANo
3152WX0102XOptometristOccupational Vision1555MINNESOTANo
4152W00000XOptometrist1555MINNESOTAYes

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
10657001OTHERMINNESOTAPREFERRED ONE
2T65625MEDICARE UPINMINNESOTA
3410001755MEDICARE PINMINNESOTA
4410047337OTHERMINNESOTARAILROAD MEDICARE
5181823600MEDICAIDMINNESOTA
6115816OTHERMINNESOTAUCARE
722-02701OTHERMINNESOTAMEDICA
8ON399HOOTHERMINNESOTABLUE CROSS BLUE SHIELD
9HP17962OTHERMINNESOTAHEALTH PARTNERS

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: 11/21/2025

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