Provider Demographics
NPI:1750545679
Name:HOPKINS OPTICIANS, INC.
Entity type:Organization
Organization Name:HOPKINS OPTICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-447-3153
Mailing Address - Street 1:3652 ROME DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-4465
Mailing Address - Country:US
Mailing Address - Phone:765-447-3153
Mailing Address - Fax:765-447-5430
Practice Address - Street 1:3652 ROME DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-4465
Practice Address - Country:US
Practice Address - Phone:765-447-3153
Practice Address - Fax:765-447-5430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0455140001Medicare NSC