Organization
ADVANCED EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA S HOOPER O.D. (OWNER)
(903) 595-6592
Entity
Organization
Contact information
Practice address
1314 DOCTORS DR, TYLER, TX 75701-2262
(903) 595-6592
(903) 593-5972
Mailing address
1314 DOCTORS DR, TYLER, TX 75701-2262
(903) 595-6592
(903) 593-5972
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038FF
BLUE CROSS BLUE SHIELD GOVERNMENT
TX
05
—
172256301
—
TX
01
—
5451470001
CIGNA GOVERNMENT SERVICES
TX
Enumeration date
10/31/2006
Last updated
03/12/2009
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