Individual
DR. RUSSELL GLENN HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4214 SW LEE BLVD, LAWTON, OK 73505-8340
(580) 353-5860
(580) 353-0792
Mailing address
4214 SW LEE BLVD, LAWTON, OK 73505-8340
(580) 353-5860
(580) 353-0792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2068
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100762530A
—
OK
Enumeration date
07/26/2006
Last updated
12/05/2013
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