Individual provider Active NPI

Bryan Hoke, O.D.

  • Optometrist
  • Cedar Rapids, IA
National Provider Identifier
1215367073
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002559 Issued in IA
Practice address
2645 Blairs Ferry Rd NE
Cedar Rapids, IA 52402-1802
Phone
(319) 393-7688
Fax
(319) 393-7968
NPI assigned
Nov 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002559 IA Primary

Addresses

Primary practice location

2645 Blairs Ferry Rd NE
Cedar Rapids, IA 52402-1802

Mailing address

1918 Bever Ave SE
Cedar Rapids, IA 52403-2715
Phone (319) 270-8986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20220422001519 IA Practitioner - Optometry 2466849336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2645 Blairs Ferry Rd NE
Cedar Rapids, IA 52402-1802
Phone (319) 393-7688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002559IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoke Optometry, LLC Optometrist CurrentSince Apr 16, 2022 Accepting new patients

Locations

2645 Blairs Ferry Rd NE
Cedar Rapids, IA 52402
Phone (319) 393-2110

5491 Business Highway 151
Marion, IA 52302
Phone (319) 447-2870

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": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1215367073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 BEVER AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032715",
            "telephone_number": "319-270-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 BLAIRS FERRY RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021802",
            "telephone_number": "319-393-7688",
            "fax_number": "319-393-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOKE",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.