Ackerson, John Hawes

Ackerson, John Hawes is an individual health care provider with primary practice located at 736 W 100 S Suite #2, Heber City UT 84032-3739. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Ackerson, John Hawes can be contacted via phone (435) 657-1212.

Contact Information

Primary practice address
736 W 100 S Suite #2 Heber City UT 84032-3739
Fax: (435) 657-9522
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4764729-9934 Utah
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4764729-8904 Utah

Profile Details

NPI number 1295753465
LBN Legal business name Ackerson, John Hawes
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295753465 NPPES
Utah MEDICAID D5280

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