Provider Demographics
NPI:1477585552
Name:HOPKINS EYE CENTER, P.A.
Entity Type:Organization
Organization Name:HOPKINS EYE CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:864-234-5335
Mailing Address - Street 1:3921 SOUTH HIGHWAY 14
Mailing Address - Street 2:STE. D
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615
Mailing Address - Country:US
Mailing Address - Phone:864-234-5335
Mailing Address - Fax:864-234-5360
Practice Address - Street 1:3921 SOUTH HIGHWAY 14
Practice Address - Street 2:STE. D
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615
Practice Address - Country:US
Practice Address - Phone:864-234-5335
Practice Address - Fax:864-234-5360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC7575Medicare ID - Type Unspecified