Provider Demographics
NPI:1144329566
Name:DRS. HOPKINS, HOPKINS & ACKERMAN OPTOMETRIST, L.L.C
Entity type:Organization
Organization Name:DRS. HOPKINS, HOPKINS & ACKERMAN OPTOMETRIST, L.L.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:620-275-5375
Mailing Address - Street 1:802 N CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-6342
Mailing Address - Country:US
Mailing Address - Phone:620-275-5375
Mailing Address - Fax:620-275-2036
Practice Address - Street 1:304 E AVE A
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:KS
Practice Address - Zip Code:67878
Practice Address - Country:US
Practice Address - Phone:620-384-7882
Practice Address - Fax:620-384-3858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1428-2152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100220380AMedicaid
KS0308850004Medicare NSC
KS017151Medicare PIN
KSU52377Medicare UPIN