Provider Demographics
NPI:1033407770
Name:HOOPER, ERIC L (OD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:L
Last Name:HOOPER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1414 W FAIR AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-2675
Mailing Address - Country:US
Mailing Address - Phone:906-226-2531
Mailing Address - Fax:906-226-7555
Practice Address - Street 1:1414 W FAIR AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-2675
Practice Address - Country:US
Practice Address - Phone:906-226-2531
Practice Address - Fax:906-226-7555
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4901004642152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist