Provider Demographics
NPI:1427205657
Name:HOOK EYE CARE, TODD W. HOOK, OD, PC
Entity Type:Organization
Organization Name:HOOK EYE CARE, TODD W. HOOK, OD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:WALTON
Authorized Official - Last Name:HOOK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:479-254-3937
Mailing Address - Street 1:2717 SE I ST
Mailing Address - Street 2:STE 1
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-3996
Mailing Address - Country:US
Mailing Address - Phone:479-254-3937
Mailing Address - Fax:479-254-3938
Practice Address - Street 1:2717 SE I ST
Practice Address - Street 2:STE 1
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3996
Practice Address - Country:US
Practice Address - Phone:479-254-3937
Practice Address - Fax:479-254-3938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2451152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5GB53Medicare PIN