Provider Demographics
NPI:1497231187
Name:HOFMANN, ELIZABETH T (OD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:T
Last Name:HOFMANN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:T
Other - Last Name:POTVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1351 WASHINGTON BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2449
Mailing Address - Country:US
Mailing Address - Phone:203-327-5808
Mailing Address - Fax:203-352-5199
Practice Address - Street 1:1351 WASHINGTON BLVD STE 101
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2449
Practice Address - Country:US
Practice Address - Phone:203-327-5808
Practice Address - Fax:203-352-5199
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3291152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist