Hoffard, Gary Mark
Hoffard, Gary Mark is an individual health care provider with primary practice located at 19022 Freeport Ave Nw Suite H, Elk River MN 55330-4767. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Hoffard, Gary Mark can be contacted via phone (763) 441-1055.Contact Information
Primary practice address
19022 Freeport Ave Nw Suite H
Elk River MN 55330-4767
Phone: (763) 441-1055
Fax: (763) 441-7024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1555 | Minnesota |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1555 | Minnesota |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1555 | Minnesota |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 1555 | Minnesota |
Profile Details
| NPI number | 1366482473 |
|---|---|
| LBN Legal business name | Hoffard, Gary Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | May 8th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366482473 | NPPES |
| Minnesota | MEDICAID | 181823600 | |
| Minnesota | Other | 22-02701 | |
| Minnesota | Other | 410047337 | |
| Minnesota | Other | ON399HO | |
| Minnesota | Other | 0657001 | |
| Minnesota | Other | 115816 | |
| Minnesota | Other | HP17962 |
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