Provider Demographics
NPI:1902058373
Name:DR BRUCE A HOFF, PC
Entity Type:Organization
Organization Name:DR BRUCE A HOFF, PC
Other - Org Name:TSO SHARPSTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:SMOLINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-981-6021
Mailing Address - Street 1:701 SHARPSTOWN CTR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-5047
Mailing Address - Country:US
Mailing Address - Phone:713-981-6021
Mailing Address - Fax:713-988-8741
Practice Address - Street 1:701 SHARPSTOWN CTR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-5047
Practice Address - Country:US
Practice Address - Phone:713-981-6021
Practice Address - Fax:713-988-8741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02328152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX02328OtherTEXAS OPTOMETRY LICENSE
TXU30583Medicare UPIN