Provider Demographics
NPI:1215367073
Name:HOKE, BRYAN (OD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:
Last Name:HOKE
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 1:1918 BEVER AVE SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-2715
Mailing Address - Country:US
Mailing Address - Phone:319-270-8986
Mailing Address - Fax:
Practice Address - Street 1:2645 BLAIRS FERRY RD NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-1802
Practice Address - Country:US
Practice Address - Phone:319-393-7688
Practice Address - Fax:319-393-7968
Is Sole Proprietor?:No
Enumeration Date:2013-11-14
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002559152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist