Provider Demographics
NPI:1194834465
Name:HOPKINS, JOSHUA JAMES (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JAMES
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787-0309
Mailing Address - Country:US
Mailing Address - Phone:402-375-5160
Mailing Address - Fax:402-375-3302
Practice Address - Street 1:1112 W 7TH ST
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787-1683
Practice Address - Country:US
Practice Address - Phone:402-375-5160
Practice Address - Fax:402-375-3302
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1169152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026203700Medicaid
NEDS4736OtherRAILROAD MEDICARE
NE6683330001Medicare NSC
NENA2076002Medicare PIN
NEDS4736OtherRAILROAD MEDICARE