Basic Information
| Provider Information | |||||||||
| NPI: | 1225008733 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOFMEISTER | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | MENEELEY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | NAVAL MEDICAL CTR | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921345000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195326702 | ||||||||
| FaxNumber: | 6195327272 | ||||||||
| Practice Location | |||||||||
| Address1: | 1955 CITRACADO PKWY STE 301 | ||||||||
| Address2: | |||||||||
| City: | ESCONDIDO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920294113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7607463937 | ||||||||
| FaxNumber: | 7607463991 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2006 | ||||||||
| LastUpdateDate: | 11/17/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 0101151068 | VA | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207W00000X | MD073212L | PA | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207WX0120X | G166728 | CA | N | 207W00000X | G166728 | CA | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.