Hooligan Adventures

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HOOLIGAN ADVENTURES

Doing business as

ChaLa Optical

Practice address

3185 Fernbrook LN N
Plymouth, MN 55447-5320

Phone

(612) 578-1777

NPI assigned

Sep 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jason P Hornbuckle

Title

Owner

Phone

(612) 578-1777

Specialties & licenses 1

Addresses

Other names 1

• ChaLa Optical Doing business as

Locations

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1568779643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 FERNBROOK LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 FERNBROOK LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475320",
            "telephone_number": "612-578-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOLIGAN ADVENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "HORNBUCKLE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-578-1777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChaLa Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Home Health Care Services LLC
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• Cody C Honl, D.O.
• Terry W. Hood, M.D.
• Deirdra Lynn Hoolahan
• Hopeallianz Inc
• Hopeful Hipo Wellness Therapy
• Jessica Horne, DPT
• Horyaal Learning & Family Services
• Mark Houghland, MD

• Optometrist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.