Active NPI
Raymond A. Hopper, O. D.
- Optometrist
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001902A
- Practice address
- 1419 S Reed Rd
Kokomo, IN 46902-1927 - Phone
- (765) 459-8182
- Fax
- (765) 459-5550
- NPI assigned
- Mar 22, 2006
- Last updated
- Mar 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001902A | IN | Primary |
Addresses
Primary practice location
1419 S Reed Rd
Kokomo, IN 46902-1927
Mailing address
9795 Crosspoint Blvd
Ste 100
Indianapolis, IN 46256-3348
Phone (317) 254-6480
Other practice location 1
160 Lakeview Dr
Noblesville, IN 46060-1307
Phone (317) 773-4482
Other practice location 2
2705 N Lebanon St
Lebanon, IN 46052-8621
Phone (765) 482-2066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100279530 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17736 Village Ctr Dr
Suite 102
Noblesville, IN 46062-7429
Phone (317) 804-1400
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18001902A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Christopher R. Prather Optometrist PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Midwest Eye Consultants, P.C. | Optometrist | Past | Accepting new patients |
Locations
9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200
804 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 257-5421
1419 S Reed Rd
Kokomo, IN 46902
Phone (765) 459-8182
160 Lakeview Dr
Noblesville, IN 46060
Phone (317) 773-4482
17736 Village Center Dr
#102
Noblesville, IN 46062
Phone (317) 804-1400
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Prather Family Eyecare
- Optometrist
- Noblesville, IN
- NPI 1275939654
-
- Optometrist
- Munster, IN
- NPI 1922974526
-
dba Midwest Eye Consultants #12
- Optometrist
- Greensburg, IN
- NPI 1013480482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1003875543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9795 CROSSPOINT BLVD",
"address_2": "STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563348",
"telephone_number": "317-254-6480",
"fax_number": "317-259-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 S REED RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469021927",
"telephone_number": "765-459-8182",
"fax_number": "765-459-5550"
}
],
"practiceLocations": [
{
"address_1": "160 Lakeview Dr",
"address_purpose": "LOCATION",
"city": "Noblesville",
"state": "IN",
"postal_code": "460601307",
"country_code": "US",
"telephone_number": "317-773-4482",
"fax_number": "317-776-2520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2705 N Lebanon St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "IN",
"postal_code": "460528621",
"country_code": "US",
"telephone_number": "765-482-2066",
"fax_number": "765-482-4847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOPPER",
"first_name": "RAYMOND",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18001902A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100279530",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.