| Doctor Name: | DR. JOHN HAWES ACKERSON |
| NPI Number: | 1295753465 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | 4764729-8904 |
| Business Practice Address: | 736 W 100 S Suite #2 Heber City, UT - 840323739 |
| Business Phone Number: | 4356571212 |
| Business Fax Number: | 4356579522 |
| Mailing Address: | 736 W 100 S, Suite #2 HEBER CITY |
| State: | UT |
| Postal Code: | 840323739 |
| Phone Number: | 4356571212 |
| Fax Number: | 4356579522 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 03/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 4764729-8904 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |