Individual provider Active NPI

Bryan Joseph Hopkins, O.D.

  • Optometrist
  • Fairview Heights, IL
National Provider Identifier
1346528569
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-010491 Issued in IL
Practice address
10 Lincoln Hwy
Fairview Heights, IL 62208-2100
Phone
(618) 624-0222
Fax
(618) 624-4930
NPI assigned
Jul 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 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 046-010491 IL Primary

Addresses

Primary practice location

10 Lincoln Hwy
Fairview Heights, IL 62208-2100

Mailing address

15933 Clayton Rd
Suite 201
Ballwin, MO 63011-2172
Phone (636) 200-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20110920000500 IL Practitioner - Optometry 3678744885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Illinois Eyecare PLLCGroup PAC ID 8729036983, 4 clinicians

Practice addresses (Care Compare)

425 W Holmes St
Chester, IL 62233-1331
Phone (618) 826-4521

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-010491ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Eyecare PLLC Optometrist CurrentSince Dec 30, 2025 Accepting new patients
JFJ Eyecare, LTD Optometrist CurrentSince Feb 1, 2017 Accepting new patients
Clarkson Optometry Illinois, P.C. Optometrist CurrentSince Mar 29, 2017 Accepting new patients
Clarkson Optometry Illinois, P.C. Optometrist CurrentSince Mar 29, 2017 Accepting new patients
JFJ Eyecare LTD Optometrist CurrentSince Feb 1, 2017 Accepting new patients
Southern Illinois Eye Care PLLC Optometrist CurrentSince Dec 30, 2025 Accepting new patients
Clarkson Eyecare Optometrist Past Accepting new patients
Clarkson Optometry Illinois PC Optometrist Past Accepting new patients

Locations

2525 Green Mount Commons Dr
Ste 290
Belleville, IL 62221
Phone (618) 233-7800

408 W 2nd St
Centralia, IL 62801
Phone (618) 532-5531

425 W Holmes St
Chester, IL 62233
Phone (618) 826-4521

601 Belt Line Rd
Collinsville, IL 62234
Phone (618) 223-5212

1025 Columbia Centre
Columbia, IL 62236
Phone (618) 281-8611

2121 S State Route 157
Edwardsville, IL 62025
Phone (618) 656-7774

6663 Edwardsville Crossing Dr
Edwardsville, IL 62025
Phone (618) 659-2320

10 Lincoln Hwy
Ste 101
Fairview Hts, IL 62208
Phone (618) 624-0222

3000 Broadway St
Mount Vernon, IL 62864
Phone (618) 242-4141

3248 Green Mount Crossing Dr
Shiloh, IL 62269
Phone (618) 622-9225

520 E Broadway St
Sparta, IL 62286
Phone (618) 443-3111

2645 N Illinois St
Swansea, IL 62226
Phone (618) 767-5100

3990 N Illinois St
Swansea, IL 62226
Phone (618) 235-3100

15933 Clayton Rd
Ste 201
Ballwin, MO 63011

Interoperability endpoints

  • Direct secure messaging: bryanhopkins@direct.eyecare-partners.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1346528569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD",
            "address_2": "SUITE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LINCOLN HWY",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082100",
            "telephone_number": "618-624-0222",
            "fax_number": "618-624-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "BRYAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-010491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Heights, IL

Sources for this page

Verify at the official NPI Registry.