Provider Demographics
NPI:1316098627
Name:HOFFERT, LEONARD LEE
Entity type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:LEE
Last Name:HOFFERT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9897 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45242-6424
Mailing Address - Country:US
Mailing Address - Phone:513-731-6587
Mailing Address - Fax:513-731-0842
Practice Address - Street 1:9897 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-6424
Practice Address - Country:US
Practice Address - Phone:513-731-6587
Practice Address - Fax:513-731-0842
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS919156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician