Provider Demographics
NPI:1144281718
Name:HOHENDORF, ROBERT ARTHUR (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ARTHUR
Last Name:HOHENDORF
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4467 BYRON CENTER AVE SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-4808
Mailing Address - Country:US
Mailing Address - Phone:616-534-4393
Mailing Address - Fax:
Practice Address - Street 1:4467 BYRON CENTER AVE SW
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-4808
Practice Address - Country:US
Practice Address - Phone:616-534-4393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2007-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002522152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOD16559OtherBLUE CROSS BLUE SHIELD
MIOD16559OtherBLUE CROSS BLUE SHIELD