Van Hoose Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VAN HOOSE OPTOMETRIC CORPORATION

Doing business as

Van Hoose Optometric Corporation

Practice address

7246 Clairemont Mesa Blvd
San Diego, CA 92111-1007

Phone

(858) 292-7193

Fax

(858) 292-8247

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Marc Van Hoose, O.D.NPI 1932280054

Title

President

Phone

(760) 560-7501

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Van Hoose Optometric Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Donald Pearcy & Van Hoose Optometric Corp., a Partnership

  • Optometrist
  • Oceanside, CA
  • NPI 1811101827

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Cameron Van Hoose, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1932280054
  Medicare reassignment Care Compare group NPD Authorized official
• Carl Allen Boeck, O.D.

  • Optometrist
  • Santee, CA
  • NPI 1588656151
  Medicare reassignment Care Compare group NPD
• Archie Martin Ackroyd, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1629107172
  Medicare reassignment NPD
• Patrick Cameron Vanhoose, O.D.

  • Occupational Vision Optometrist
  • San Diego, CA
  • NPI 1811024516

  Corneal and Contact Management

  NPD

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1770248155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920670175",
            "telephone_number": "760-560-7501",
            "fax_number": "858-292-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7246 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111007",
            "telephone_number": "858-292-7193",
            "fax_number": "858-292-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN HOOSE OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "VAN HOOSE",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-560-7501",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0126670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Hoose Optometric Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Carey Van Erp, MD
• Christina Van Ert
• Lynette Van Heukelem, LVN
• Karen B Van Hoesen, MD
• Kylie Van Hoesen, MD
• Marc Cameron Van Hoose, O.D.
• Olivia Grace Van Houten
• Willa Lynn Van Houten
• Jesse James Van Leeuwen-Beloussow, DNP, FNP-C, ACNP
• Brenda Geraldine Van Loggem, NP

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.