Individual provider Active NPI

Lori K. Hooley, O.D.

  • Optometrist
  • American Fork, UT
National Provider Identifier
1780649566
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
56762279934 Issued in UT
Practice address
60 S 200 E
American Fork, UT 84003-2412
Phone
(801) 756-4731
Fax
(801) 756-5865
NPI assigned
Apr 17, 2006
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 56762279934 UT Primary

Addresses

Primary practice location

60 S 200 E
American Fork, UT 84003-2412

Mailing address

60 S 200 E
American Fork, UT 84003-2412
Phone (801) 756-4731

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000561 UT Practitioner - Optometry 4981674298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth E Hooton, O.D.Group PAC ID 1658341953, 3 clinicians

Practice addresses (Care Compare)

60 S 200
American Fork, UT 84003-2412
Phone (801) 756-4731

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56762279934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth E Hooton, O.D. Optometrist CurrentSince Jun 29, 2004 Accepting new patients

Locations

60 S 200 E
American Fork, UT 84003
Phone (801) 756-4731

3397 N 1200 E
Ste 104
Lehi, UT 84043
Phone (801) 756-4731

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1780649566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 S 200 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032412",
            "telephone_number": "801-756-4731",
            "fax_number": "801-756-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S 200 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032412",
            "telephone_number": "801-756-4731",
            "fax_number": "801-756-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOLEY",
        "first_name": "LORI",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "56762279934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.