Phillip A Hooker, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

MS744 Issued in MS

Practice address

726 Goodman Rd E
# B
Southaven, MS 38671-9530

Phone

(662) 349-1959

Fax

(662) 349-0424

NPI assigned

Jul 31, 2006

Last updated

Sep 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desoto Eyecare IncGroup PAC ID 1254232655, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Desoto Eyecare Inc

  • Exclusive Provider Organization
  • Southaven, MS
  • NPI 1376576884

  TN

  Medicare reassignment Care Compare group NPD
• Oxford Family Vision Clinic, Inc

  • Optometrist
  • Oxford, MS
  • NPI 1740423599
  NPD (past)
• Memphis Eye Clinic PLC

  • Ophthalmology Physician
  • Memphis, TN
  • NPI 1730361429
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1407861834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 GOODMAN RD E",
            "address_2": "# B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719530",
            "telephone_number": "662-349-1959",
            "fax_number": "662-349-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 GOODMAN RD E",
            "address_2": "# B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719530",
            "telephone_number": "662-349-1959",
            "fax_number": "662-349-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKER",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "MS744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04679751",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alane Furlotte Holliday, D.D.S.
• Joshua Kermit Hollingsworth, M.A
• Erica P Holmes, EDD, LPC
• Home Care Solutions, Inc.
• David A Hooker, M.D.
• Tony Dee Hooker, DDS
• Stacy G. Hooks, MD
• Cashandra L Hooper
• Whitney Horner, PT
• Hospice Advantage, LLC. (Compassus - Memphis)

• Optometrist in Southaven, MS
• Providers in Southaven, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.