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Organization

JACK E. HOPKINS, O.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK E. HOPKINS O.D. (PRESIDENT)
(405) 737-8935
Entity
Organization

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
152WC0802X
Corneal and Contact Management Optometrist
152WP0200X
Pediatric 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
04/14/2007
Last updated
12/09/2018
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