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
Phone: (435) 657-1212
Fax: (435) 657-9522
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295753465 | NPPES |
Utah | MEDICAID | D5280 |
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