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DR. JOSHUA S HOOPER OD
NPI 1154328870
Optometrist in Tyler, TX

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
2440 E 5TH ST, TYLER, TX 75701(903) 595-0500 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joshua S Hooper Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSHUA S HOOPER OD (NPI 1154328870) is an individual optometrist in Tyler, Texas, licensed in Texas (6589TG) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Houston - College Of Optometry (2004).

NPPES Registry Identity

NPI1154328870
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOSHUA S HOOPERCredential: OD
Location Address2440 E 5TH STTyler, TX 75701-3525
Mailing Address15933 Clayton Rd Ste 210Ballwin, MO 63011-2172
Phone(903) 595-0500
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2004
Enumeration DateJuly 7, 2005
Last NPPES UpdateSeptember 27, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1154328870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 6589TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2440 E 5TH ST, Tyler, TX 75701
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1408 S Main StWinnsboro, TX 75494-3226 · Phone (903) 342-5799
Location 21327 Troup HwyTyler, TX 75701-4443 · Phone (903) 531-4733
Location 31440 S Main StLindale, TX 75771-6267 · Phone (903) 882-8990
Location 4608 S Palestine StAthens, TX 75751 · Phone (903) 675-6440

Other Identifiers 30

Other0038FFTX · Group & Pension Administrators
Other0038FFTX · Texas True Choice
Other11450424TX · Aetna
Other11450424TX · Aetna Trs Care
Medicaid170498302TX
Other22704TX · Always Vision
Other81256QTX · Blue Cross Blue Shield Government
Other921841TX · Block Vision
Other5451470001TX · Cigna Government Services
Other60583TX · Safeguard
Other82840QTX · Bcbs
Other925395TX · Web-tpa
OtherTIN PLUS 015TX · Tricare Tc Eye Jv Location
OtherTIN PLUS 021TX · Tricare
Other0038FFTX · Vision Care Plan
Other0038FFTX · Prinicipal Financial Group
Other0038FFTX · United Health Care
Other0038FFTX · Healthfirst Tpa
Other0038FFTX · Texas Community Care
Other22704TX · National Vision Administrators
Other5451470001TX · Sterling Option I
Other9370971TX · Benefit Planners
Other202043539TX · Tricare South
Other81256QTX · Blue Cross Blue Shield
Other9370971TX · Phcs
Other0038FFTX · Superior Vision
Other0038FFTX · Vision Service Plan
Medicaid170498303TX
Other5451470001TX · Sterling Option Ii
OtherHO96271TX · Inegrated Health Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joshua S Hooper Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638138605
PECOS Enrollment IDI20041005001290
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
256 services255 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
192 services189 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services52 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
46 services46 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
43 services34 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
40 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAREY G PRATER O.D.
Optometrist
2440 E 5TH ST
TYLER, TX 75701
Smith County (903) 595-0500
RONALD J PINKENBURG M.D.
Ophthalmology
2440 E 5TH ST
TYLER, TX 75701
Smith County (903) 595-0500
DR. SAMAREH CUNNINGHAM AZAR MD
Ophthalmology
2440 E 5TH ST
TYLER, TX 75701
Smith County (903) 595-0500
COY WEEMS
Hearing Instrument Specialist
2440 E 5TH ST
TYLER, TX 75701
Smith County (903) 595-0500
AUSTIN THOMAS LASH M.D.
Ophthalmology
2440 E 5TH ST
TYLER, TX 75701
Smith County (903) 595-0500
EAST TEXAS EYE CARE ASSOCIATES PLLC
Ophthalmology
2440 E 5TH ST
TYLER, TX 75701
Smith County (903) 595-0500
THOMAS BOCHOW M.D., M.P.H.
Ophthalmology
2440 E 5TH ST
TYLER, TX 75701
Smith County (903) 595-0500
GREGORY D KIBLINGER M.D.
Ophthalmology
2440 E 5TH ST
TYLER, TX 75701
Smith County (903) 595-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joshua Hooper's NPI number?

The NPI number for Joshua Hooper is 1154328870. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Joshua Hooper located?

Joshua Hooper practices at 2440 E 5th St, Tyler, TX 75701. The listed phone number is (903) 595-0500.

What is Joshua Hooper's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Joshua Hooper enrolled in Medicare?

Yes. Joshua Hooper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joshua Hooper accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Joshua Hooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joshua Hooper was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.