Provider Demographics
NPI:1689642498
Name:DRS HOPKINS ACKERMAN & DREES LLC
Entity Type:Organization
Organization Name:DRS HOPKINS ACKERMAN & DREES LLC
Other - Org Name:HOPKINS, ACKERMAN, & DREES OPTOMETRISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DREES
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 1:802 N CAMPUS DR
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-6342
Practice Address - Country:US
Practice Address - Phone:620-275-5375
Practice Address - Fax:620-275-2036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1208-3 AND 1428-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200579610BMedicaid
KS0308850001Medicare NSC
017006Medicare PIN