Active NPI
Bryan Joseph Hopkins, O.D.
- Optometrist
- Fairview Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-010491
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLC
Practice addresses (Care Compare)
425 W Holmes St
Chester, IL 62233-1331
Phone (618) 826-4521
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-010491 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Eyecare PLLC | Optometrist | Current | Accepting new patients |
| JFJ Eyecare, LTD | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Illinois, P.C. | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Illinois, P.C. | Optometrist | Current | Accepting new patients |
| JFJ Eyecare LTD | Optometrist | Current | Accepting new patients |
| Southern Illinois Eye Care PLLC | Optometrist | Current | 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
- 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.
-
- Optometrist
- Centralia, IL
- NPI 1730373648
-
- Optometrist
- Swansea, IL
- NPI 1295778587
-
- Optometrist
- Pinckneyville, IL
- NPI 1053466045
-
- Optometrist
- Shiloh, IL
- NPI 1457303125
-
- Optometrist
- Eureka, MO
- NPI 1205817731
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.