Healthcare Provider Details

I. General information

NPI: 1639167505
Provider Name (Legal Business Name): WILLIAM J HOOKER O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 HASLETT RD
HASLETT MI
48840-8472
US

IV. Provider business mailing address

PO BOX 621
HASLETT MI
48840-0621
US

V. Phone/Fax

Practice location:
  • Phone: 517-339-4100
  • Fax: 517-339-4199
Mailing address:
  • Phone: 517-339-4100
  • Fax: 517-339-4199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901002909
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number4901002909
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number4901002909
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number4901002909
License Number StateMI
# 5
Primary TaxonomyY
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number4901002909
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: