Individual provider Active NPI

Richard Hansen Hopp, MD

  • Ophthalmology Physician
  • Yakima, WA
National Provider Identifier
1083622211
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00027176 Issued in WA
Practice address
3999 Englewood Ave # 101
Yakima, WA 98902-6341
Phone
(509) 452-2020
Fax
(509) 452-8398
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00027176 WA Primary

Addresses

Primary practice location

3999 Englewood Ave # 101
Yakima, WA 98902-6341

Mailing address

3999 Englewood Ave # 101
Yakima, WA 98902-6341
Phone (509) 452-2020

Other identifiers 1

IdentifierTypeStateIssuer
1056233MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000334 WA Practitioner - OphthalmologyPractitioner - Optometry 6103841127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: rhopp@aecyakima.intellechartdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1083622211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 ENGLEWOOD AVE # 101",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026341",
            "telephone_number": "509-452-2020",
            "fax_number": "509-452-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 ENGLEWOOD AVE # 101",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026341",
            "telephone_number": "509-452-2020",
            "fax_number": "509-452-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPP",
        "first_name": "RICHARD",
        "middle_name": "HANSEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00027176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1056233",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.