Individual provider Active NPI

Ryan Earl Hooper, O.D.

  • Optometrist
  • Rocky River, OH
National Provider Identifier
1104231265
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6285 Issued in OH
Practice address
19358 Detroit Rd Ste a
Rocky River, OH 44116-1802
Phone
(440) 799-4311
Fax
(440) 398-8040
NPI assigned
Jun 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6285 OH Primary

Addresses

Primary practice location

19358 Detroit Rd Ste a
Rocky River, OH 44116-1802

Mailing address

19358 Detroit Rd Ste a
Rocky River, OH 44116-1802
Phone (440) 799-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150909003267 OH Practitioner - Optometry 7113234055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19358 Detroit Rd
Suite a
Rocky River, OH 44116-1802
Phone (440) 799-4311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6285OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hooper Preventative Eyecare Clinic Inc. CurrentSince Nov 1, 2018 Accepting new patients

Locations

19358 Detroit Rd
#A
Rocky River, OH 44116
Phone (440) 799-4311

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1104231265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19358 DETROIT RD STE A",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161802",
            "telephone_number": "440-799-4311",
            "fax_number": "440-398-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19358 DETROIT RD STE A",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161802",
            "telephone_number": "440-799-4311",
            "fax_number": "440-398-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "RYAN",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.