Provider Demographics
NPI:1104231265
Name:HOOPER, RYAN EARL (OD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:EARL
Last Name:HOOPER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:19358 DETROIT RD STE A
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-1802
Mailing Address - Country:US
Mailing Address - Phone:440-799-4311
Mailing Address - Fax:440-398-8040
Practice Address - Street 1:19358 DETROIT RD STE A
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-1802
Practice Address - Country:US
Practice Address - Phone:440-799-4311
Practice Address - Fax:440-398-8040
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6285152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist