Organization Active NPI

Hooper Preventative Eyecare Clinic Inc.

  • Corneal and Contact Management Optometrist
  • Rocky River, OH
National Provider Identifier
1811484173
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
6285-T3201 Issued in OH
Legal business name
HOOPER PREVENTATIVE EYECARE CLINIC INC.
Practice address
19358 Detroit Rd Ste a
Rocky River, OH 44116-1802
Phone
(440) 799-4311
Fax
(440) 398-8040
NPI assigned
Apr 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Dr. Ryan E. Hooper, ODNPI 1104231265
Title
Optometrist/Owner
Phone
(440) 799-4311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 6285-T3201 OH Primary

Addresses

Primary practice location

19358 Detroit Rd Ste a
Rocky River, OH 44116-1802

Mailing address

19358 Detroit Rd Ste a
Rocky River, OH 44116-1802
Phone (440) 799-4311

Other identifiers 2

IdentifierTypeStateIssuer
0293505MedicaidOH
0132643MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190116003217 OH Part B Supplier - Clinic/Group Practice 0244576981 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky River, OH

National Provider Directory

National Provider Directory

Locations

19358 Detroit Rd
#A
Rocky River, OH 44116
Phone (440) 799-4311

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1811484173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19358 DETROIT RD STE A",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161802",
            "telephone_number": "440-799-4311",
            "fax_number": "440-398-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19358 DETROIT RD STE A",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161802",
            "telephone_number": "440-799-4311",
            "fax_number": "440-398-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOPER PREVENTATIVE EYECARE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-21",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "440-799-4311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "6285-T3201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293505",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132643",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.