Provider Demographics
NPI:1891788634
Name:HOEY, MICHAEL EMMETT (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EMMETT
Last Name:HOEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:638 W DUARTE RD
Mailing Address - Street 2:SUITE #10
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7616
Mailing Address - Country:US
Mailing Address - Phone:626-445-1186
Mailing Address - Fax:626-445-1452
Practice Address - Street 1:638 W DUARTE RD
Practice Address - Street 2:SUITE #10
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7616
Practice Address - Country:US
Practice Address - Phone:626-445-1186
Practice Address - Fax:626-445-1452
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA08088T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00005133OtherRRMEDICARE
U82841Medicare UPIN
OP8088Medicare ID - Type Unspecified
CA4205810001Medicare NSC