Kenneth Hopper, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

096365-1 Issued in NY

Practice address

152 Bay St
Glens Falls, NY 12801-2329

Phone

(519) 792-1300

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Adirondack Eye Physicians & Surgeons PC

  • Optometrist
  • Glens Falls, NY
  • NPI 1114148442

  NY

  Medicare reassignment NPD Authorized official
• Bay Optical, Inc

  • Optician
  • Glens Falls, NY
  • NPI 1073681169
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1487767935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012329",
            "telephone_number": "519-792-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "096365-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00361091",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Gerald Holland, MD
• Wendy A Holleran, RN
• Home Therapy Equipment, Inc.
• Michele R Homicz, PT
• Amy Marie Hoover, MA, RD, CDN
• Shelby Faith Horn, OTD, OTR/L
• Caitlin Houle
• Elizabeth Howard, LCSW
• Nancy Cummings Howland, LCSW
• Mary Camilla Hren, LCSW-R

• All providers in Glens Falls, NY
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.