Phillip Carl Hoopes Sr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

1616761205 Issued in UT

Practice address

11820 So State St.
200
Draper, UT 84020-7160

Phone

(801) 568-0200

Fax

(801) 563-0200

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

Yes

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 UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Hoopes Vision Correction Center, PC

  • Ophthalmology Physician
  • Draper, UT
  • NPI 1982759122
  Medicare reassignment NPD
• Eye Surg of Utah, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Draper, UT
  • NPI 1629069281
  NPD (past) Authorized official
• Legacy Medical PC

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1235266776
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1629067921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 SOUTH STATE STREET",
            "address_2": "200",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207160",
            "telephone_number": "801-568-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 SO STATE ST.",
            "address_2": "200",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207160",
            "telephone_number": "801-568-0200",
            "fax_number": "801-563-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPES",
        "first_name": "PHILLIP",
        "middle_name": "CARL",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "1616761205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510929546001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Chance Holt
• Maria Holyk
• Rebekah Honey
• Crystal Hooley
• Hoopes Vision Correction Center, PC
• Phillip Carl Hoopes Jr., M.D.
• Morgan A Hopkins, DPT
• Mary Leigh Horn, AUD
• Galina R Hornyik, MD
• Anna Marie Horton, LCSW

• Ophthalmology Physician in Draper, UT
• Providers in Draper, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.