Individual provider Active NPI

Raymond A. Hopper, O. D.

  • Optometrist
  • Kokomo, IN
National Provider Identifier
1003875543
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001902A Issued in IN
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100279530MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000843 IN Practitioner - Optometry 2668404609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher R Prather Optometrist PCGroup PAC ID 6709108186, 3 clinicians

Practice addresses (Care Compare)

17736 Village Ctr Dr
Suite 102
Noblesville, IN 46062-7429
Phone (317) 804-1400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001902AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Dec 31, 2018 Accepting new patients
Christopher R. Prather Optometrist PC Optometrist CurrentSince Sep 25, 2020 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Dec 31, 2018 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.

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

Verify at the official NPI Registry.