Provider Demographics
NPI:1780738401
Name:HINSHAW, TODD CHRISTOPHER (OD)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:CHRISTOPHER
Last Name:HINSHAW
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 1:1894 TAMIAMI TRL N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5228
Mailing Address - Country:US
Mailing Address - Phone:239-529-6900
Mailing Address - Fax:239-262-5450
Practice Address - Street 1:1894 TAMIAMI TRL N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5228
Practice Address - Country:US
Practice Address - Phone:239-529-6900
Practice Address - Fax:239-262-5450
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003666152W00000X
OH4503 T1172152W00000X
HI569152W00000X
IN18003143A152W00000X
CO1716152W00000X
FLOPC2702152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI257618OtherHAWAII BLUE CROSS NUMBER
MI90-0-A3-1042-0OtherMICHIGAN BLUE CROSS
MI90-0-A3-1042-0OtherMICHIGAN BLUE CROSS
MI0N17770Medicare ID - Type UnspecifiedMICHIGAN MEDICARE NUMBER