Provider Demographics
NPI:1912988213
Name:HOPKINS, GEORGE A (OD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:A
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 1:2508 CASEYS DR
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-3314
Mailing Address - Country:US
Mailing Address - Phone:620-275-5375
Mailing Address - Fax:620-275-2036
Practice Address - Street 1:2508 CASEYS DR
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-3314
Practice Address - Country:US
Practice Address - Phone:620-275-5375
Practice Address - Fax:620-275-2036
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1208-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS017005Medicare ID - Type Unspecified
KST80156Medicare UPIN