Individual provider Active NPI

Jon Michael Hopson, OD

  • Optometrist
  • Sikeston, MO
National Provider Identifier
1265541890
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02997 Issued in MO
Practice address
1303 S Main St
Sikeston, MO 63801-9360
Phone
(573) 472-3655
Fax
(573) 472-3575
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02997 MO Primary

Addresses

Primary practice location

1303 S Main St
Sikeston, MO 63801-9360

Mailing address

801 Park Ave
Sikeston, MO 63801-2053
Phone (573) 471-1466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040102000352 MO Practitioner - Optometry 5799684379 Practice locations: Sikeston, MO

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1303 S Main St
Sikeston, MO 63801-9360
Phone (573) 472-3655

801 Park Ave
Sikeston, MO 63801-2053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T02997MOMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1265541890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PARK AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012053",
            "telephone_number": "573-471-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638019360",
            "telephone_number": "573-472-3655",
            "fax_number": "573-472-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPSON",
        "first_name": "JON",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.