Individual provider Active NPI

Kenneth E Hooton, O.D.

  • Optometrist
  • American Fork, UT
National Provider Identifier
1144285925
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
911096079934 Issued in UT
Practice address
60 S 200 E
American Fork, UT 84003-2412
Phone
(801) 756-4731
Fax
(801) 756-5865
NPI assigned
Apr 17, 2006
Last updated
Oct 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 911096079934 UT Primary

Addresses

Primary practice location

60 S 200 E
American Fork, UT 84003-2412

Mailing address

60 S 200 E
American Fork, UT 84003-2412
Phone (801) 756-4731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20040727000529 UT Practitioner - Optometry 5991775207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth E Hooton, O.D.Group PAC ID 1658341953, 3 clinicians

Practice addresses (Care Compare)

60 S 200
American Fork, UT 84003-2412
Phone (801) 756-4731

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
911096079934UTMDOptometrist

Networks

  • UT PPO D-SNP
  • UT PPO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1144285925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 S 200 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032412",
            "telephone_number": "801-756-4731",
            "fax_number": "801-756-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S 200 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032412",
            "telephone_number": "801-756-4731",
            "fax_number": "801-756-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOTON",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "911096079934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.