Individual
DR. JACK E HOPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8121 NATIONAL AVE, STE 409, MIDWEST CITY, OK 73110-7530
(405) 737-8935
(405) 737-8934
Mailing address
8121 NATIONAL AVE, STE 409, MIDWEST CITY, OK 73110-7530
(405) 737-8935
(405) 737-8934
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
860
OK
152WC0802X
Corneal and Contact Management Optometrist
Primary
860
OK
152WL0500X
Low Vision Rehabilitation Optometrist
860
OK
152WP0200X
Pediatric Optometrist
860
OK
152WX0102X
Occupational Vision Optometrist
860
OK
332H00000X
Eyewear Supplier
860
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765510A
—
OK
01
—
410020540
RAILROAD MEDICARE
OK
Enumeration date
07/05/2005
Last updated
07/28/2008
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