NPIMap

Organization Active NPI

Hoekstra Optometric Corporation

Doing business as Union Vision Services Optometry

  • Optometrist
  • Roseville, CA
National Provider Identifier
1003159542
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12419T Issued in CA
Legal business name
HOEKSTRA OPTOMETRIC CORPORATION
Doing business as
Union Vision Services Optometry
Practice address
2200 Professional Dr
Suite 250
Roseville, CA 95661-7763
Phone
(916) 782-8080
Fax
(916) 772-2329
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Corey Hoekstra, O.D.NPI 1659466035
Title
President
Phone
(916) 782-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12419T CA Primary

Addresses

Primary practice location

2200 Professional Dr
Suite 250
Roseville, CA 95661-7763

Mailing address

2200 Professional Dr
Suite 250
Roseville, CA 95661-7763
Phone (916) 782-8080

Other names 1

  • Union Vision Services Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

2200 Professional Dr
Ste 250
Roseville, CA 95661
Phone (916) 782-8080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1003159542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PROFESSIONAL DR",
            "address_2": "SUITE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617763",
            "telephone_number": "916-782-8080",
            "fax_number": "916-772-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PROFESSIONAL DR",
            "address_2": "SUITE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617763",
            "telephone_number": "916-782-8080",
            "fax_number": "916-772-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOEKSTRA OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "HOEKSTRA",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-782-8080",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12419T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Vision Services Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.