Provider Demographics
NPI:1922459528
Name:HOOVER, SABINA M (OD)
Entity Type:Individual
Prefix:DR
First Name:SABINA
Middle Name:M
Last Name:HOOVER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 207158
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-7158
Mailing Address - Country:US
Mailing Address - Phone:636-200-4393
Mailing Address - Fax:636-527-0766
Practice Address - Street 1:12681 DORSETT RD
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-2100
Practice Address - Country:US
Practice Address - Phone:314-786-3800
Practice Address - Fax:314-786-3801
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5239152W00000X
MO2020001260152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist