Provider Demographics
NPI:1154328870
Name:HOOPER, JOSHUA S (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:S
Last Name:HOOPER
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:PO BOX 846098
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-6098
Mailing Address - Country:US
Mailing Address - Phone:903-324-6450
Mailing Address - Fax:
Practice Address - Street 1:1327 TROUP HWY
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-4443
Practice Address - Country:US
Practice Address - Phone:903-531-4733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6589TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX925395OtherWEB-TPA
TX0038FFOtherTEXAS COMMUNITY CARE
TX0038FFOtherTEXAS TRUE CHOICE
TX11450424OtherAETNA TRS CARE
TX202043539OtherTRICARE SOUTH
TX5451470001OtherSTERLING OPTION I
TX0038FFOtherHEALTHFIRST TPA
TX11450424OtherAETNA
TX81256QOtherBLUE CROSS BLUE SHIELD GOVERNMENT
TX0038FFOtherSUPERIOR VISION
TX5451470001OtherCIGNA GOVERNMENT SERVICES
TX921841OtherBLOCK VISION
TX9370971OtherPHCS
TX0038FFOtherUNITED HEALTH CARE
TX22704OtherNATIONAL VISION ADMINISTRATORS
TX170498302Medicaid
TX22704OtherALWAYS VISION
TX5451470001OtherSTERLING OPTION II
TX0038FFOtherVISION SERVICE PLAN
TX0038FFOtherPRINICIPAL FINANCIAL GROUP
TX0038FFOtherGROUP & PENSION ADMINISTRATORS
TX170498303Medicaid
TXTIN PLUS 021OtherTRICARE
TX0038FFOtherVISION CARE PLAN
TX60583OtherSAFEGUARD
TX81256QOtherBLUE CROSS BLUE SHIELD
TX82840QOtherBCBS
TX9370971OtherBENEFIT PLANNERS
TXHO96271OtherINEGRATED HEALTH PLAN
TXTIN PLUS 015OtherTRICARE TC EYE JV LOCATION
TX8D2377Medicare PIN
TX81256QOtherBLUE CROSS BLUE SHIELD
TX81256QOtherBLUE CROSS BLUE SHIELD GOVERNMENT
TX9370971OtherBENEFIT PLANNERS
TX0038FFOtherGROUP & PENSION ADMINISTRATORS