Provider Demographics
NPI:1982759122
Name:HOOPES VISION CORRECTION CENTER, P.C.
Entity Type:Organization
Organization Name:HOOPES VISION CORRECTION CENTER, P.C.
Other - Org Name:HOOPES VISION CORRECTION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOOPES
Authorized Official - Suffix:
Authorized Official - Credentials:MD (CEO/OWNER)
Authorized Official - Phone:801-568-0200
Mailing Address - Street 1:11820 S STATE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-7160
Mailing Address - Country:US
Mailing Address - Phone:801-568-0200
Mailing Address - Fax:801-563-0200
Practice Address - Street 1:11820 S STATE ST STE 200
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7160
Practice Address - Country:US
Practice Address - Phone:801-568-0200
Practice Address - Fax:801-563-0200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOOPES VISION CORRECTION CENTER, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-25
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTUT02430OtherMEDICARE SUBMITTER ID
UTUT02430OtherMEDICARE SUBMITTER ID