Provider Demographics
NPI:1952305211
Name:HOPKINS, JOSEPH EDWIN (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EDWIN
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 1:100 ALENDER WAY
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-4547
Mailing Address - Country:US
Mailing Address - Phone:864-525-9999
Mailing Address - Fax:
Practice Address - Street 1:3319 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-4113
Practice Address - Country:US
Practice Address - Phone:864-261-3563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC1170152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC07448OtherSPECTERA INSURANCE
SCU83929Medicare ID - Type Unspecified