Active NPI
Laser and Refractive
- Ophthalmologic Surgery Clinic/Center
- Draper, UT
National Provider Identifier
1275724684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- 4728718-0160
- Legal business name
- LASER AND REFRACTIVE
- Practice address
- 11820 S State
100
Draper, UT 84020-9737 - Phone
- (801) 568-0200
- Fax
- (801) 563-0200
- NPI assigned
- Aug 9, 2007
- Organization subpart
- Yes
- Parent organization
- HOOPES VISION CORRECTION CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phillip C Hoopes, M.D.
- Title
- Ceo
- Phone
- (801) 568-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | 4728718-0160 | UT | Primary |
Addresses
Primary practice location
11820 S State
100
Draper, UT 84020-9737
Mailing address
11820 S State
Suite 100
Draper, UT 84020-9737
Phone (801) 568-0200
National Provider Directory
National Provider Directory- Part of
- Hoopes Vision Correction Center PC
Locations
11820 S State St
Ste 100
Draper, UT 84020
Phone (801) 568-0200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358208000000",
"number": "1275724684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11820 S STATE",
"address_2": "SUITE 100",
"city": "DRAPER",
"state": "UT",
"postal_code": "840209737",
"telephone_number": "801-568-0200",
"fax_number": "801-563-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11820 S STATE",
"address_2": "100",
"city": "DRAPER",
"state": "UT",
"postal_code": "840209737",
"telephone_number": "801-568-0200",
"fax_number": "801-563-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASER AND REFRACTIVE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOOPES VISION CORRECTION CENTER",
"enumeration_date": "2007-08-09",
"last_updated": "2013-01-15",
"status": "A",
"authorized_official_last_name": "HOOPES",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-568-0200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": "UT",
"license": "4728718-0160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.