| Phillip Carl Hoopes Sr, MD | |
|
11820 So State St., 200, Draper, UT 84020-7160 | |
| (801) 568-0200 | |
| (801) 563-0200 |
| Full Name | Phillip Carl Hoopes Sr |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 11820 So State St., Draper, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629067921 | NPI | - | NPPES |
| 510929546001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 1616761205 (Utah) | Primary |
| Entity Name | Hoopes Vision Correction Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982759122 PECOS PAC ID: 7618874231 Enrollment ID: O20031212000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Carl Hoopes Sr, MD 11820 South State Street, 200, Draper, UT 84020-7160 Ph: (801) 568-0200 | Phillip Carl Hoopes Sr, MD 11820 So State St., 200, Draper, UT 84020-7160 Ph: (801) 568-0200 |
Austin Douglas Bohner, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 11820 S State St Ste 200, Draper, UT 84020 Phone: 801-568-0200 Fax: 801-563-0200 | |
Benjamin Buckner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 11820 S State St, Draper, UT 84020 Phone: 573-882-1506 | |
Phillip Carl Hoopes, Jr., M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 11820 S. State St, Ste. 200, Draper, UT 84020 Phone: 801-568-0200 Fax: 801-563-0200 |