Provider Demographics
NPI:1295429413
Name:HOPE, MICHAEL SPERRY (OD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SPERRY
Last Name:HOPE
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 1:13239 S DOMINICA LN UNIT 304
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-1472
Mailing Address - Country:US
Mailing Address - Phone:801-712-9478
Mailing Address - Fax:
Practice Address - Street 1:10654 S RIVER HEIGHTS DR STE 110
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-5523
Practice Address - Country:US
Practice Address - Phone:801-676-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13440227-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist