Individual provider Active NPI

Kathryn Ann Hopper, OD

  • Optometrist
  • Wyomissing, PA
National Provider Identifier
1205493111
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003563 Issued in PA
Practice address
714 Woodland Rd
Wyomissing, PA 19610
Phone
(484) 722-8121
NPI assigned
May 27, 2019
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X OEG003563 PA Primary

Addresses

Primary practice location

714 Woodland Rd
Wyomissing, PA 19610

Mailing address

714 Woodland Rd
Wyomissing, PA 19610-3231
Phone (484) 722-8121

Other practice location 1

2329 Cottman Ave
Philadelphia, PA 19149-1003
Phone (215) 332-7228

Other practice location 2

2329 Cottman Ave
Philadelphia, PA 19149-1003
Phone (215) 332-7228

Other practice location 3

9475 Roosevelt Blvd
Philadelphia, PA 19114-2212
Phone (215) 698-7760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190807000653 PA Practitioner - Optometry 5092042523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpha Eye Wyomissing, LLCGroup PAC ID 4082971585, 3 clinicians

Practice addresses (Care Compare)

103 Dickens CT
North Wales, PA 19454-1622
Phone (215) 698-7760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gretchen J Brewer, OD & Associates, Inc Optometrist CurrentSince Sep 23, 2019 Accepting new patients

Locations

2329 Cottman Ave
Philadelphia, PA 19149
Phone (215) 332-7228

2329 Cottman Ave
#J
Philadelphia, PA 19149
Phone (215) 332-7228

Organizations & group practices 2

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": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1205493111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 WOODLAND RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103231",
            "telephone_number": "484-722-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 WOODLAND RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "484-722-8121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2329 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191491003",
            "country_code": "US",
            "telephone_number": "215-332-7228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2329 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191491003",
            "country_code": "US",
            "telephone_number": "215-332-7228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9475 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191142212",
            "country_code": "US",
            "telephone_number": "215-698-7760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-27",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.