Individual provider Active NPI

Keller Hopkins

  • Optometrist
  • Cary, NC
National Provider Identifier
1275013765
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2526 Issued in NC
Practice address
2010 Kildaire Farm Rd
Cary, NC 27518-6614
Phone
(919) 852-1563
NPI assigned
Aug 15, 2018
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2526 NC Primary

Addresses

Primary practice location

2010 Kildaire Farm Rd
Cary, NC 27518-6614

Mailing address

1300 Tribute Center Dr Apt 308
Raleigh, NC 27612-3250
Phone (910) 922-2730

Other practice location 1

6750 Tryon Rd Ste 101
Cary, NC 27518-7056
Phone (919) 859-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210526002758 NC Practitioner - Optometry 6507265444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Family Eye Care OD PAGroup PAC ID 1557587300, 2 clinicians

Practice addresses (Care Compare)

155 Pkwy Office CT
Suite 105
Cary, NC 27518-7427
Phone (919) 859-0777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2526NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Family Eye Care OD, PA Optometrist CurrentSince May 1, 2021 Accepting new patients

Locations

100 Parkway Office Ct
Ste 112
Cary, NC 27518
Phone (919) 378-2332

155 Parkway Office Ct
Ste 105
Cary, NC 27518
Phone (919) 859-0777

Organizations & group practices 1

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1275013765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 TRIBUTE CENTER DR APT 308",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123250",
            "telephone_number": "910-922-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186614",
            "telephone_number": "919-852-1563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6750 Tryon Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187056",
            "country_code": "US",
            "telephone_number": "919-859-0777",
            "fax_number": "919-415-0443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "KELLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-12-13",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.