Active NPI
Hooper Preventative Eyecare Clinic Inc.
- Corneal and Contact Management Optometrist
- Rocky River, OH
National Provider Identifier
1811484173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 6285-T3201
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan E. Hooper, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0293505 | Medicaid | OH | |
| 0132643 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Rocky River, OH
- NPI 1104231265
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.