Individual
MICHAEL D HOPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
147 QUAIL LN, MOULTRIE, GA 31788-6370
(229) 589-1252
Mailing address
147 QUAIL LN, MOULTRIE, GA 31788-6370
(229) 589-1252
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001331
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00520726S
—
GA
01
—
100623
AVESIS
GA
01
—
11582
OPTICARE
GA
01
—
582233896
TRICARE
—
01
—
967535
BLUE CROSS
GA
Enumeration date
07/21/2006
Last updated
06/30/2010
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