Individual
DR. ROGER DALE HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
316 W 4TH ST, SEDALIA, MO 65301-4245
(660) 827-4120
(660) 827-1525
Mailing address
PO BOX 1692, SEDALIA, MO 65302-1692
(660) 827-4120
(660) 827-1525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02192
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05880017
BLUE CROSS BLUE SHIELD
—
05
—
310039714
—
MO
01
—
410017052
RR MEDICARE
—
Enumeration date
09/13/2005
Last updated
04/21/2010
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