Active NPI
Russell Glenn Hopkins, O.D.
- Optometrist
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2068
- Practice address
- 4214 SW Lee Blvd
Lawton, OK 73505-8340 - Phone
- (580) 353-5860
- Fax
- (580) 353-0792
- NPI assigned
- Jul 26, 2006
- 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 | 2068 | OK | Primary |
Addresses
Primary practice location
4214 SW Lee Blvd
Lawton, OK 73505-8340
Mailing address
4214 SW Lee Blvd
Lawton, OK 73505-8340
Phone (580) 353-5860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100762530A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4214 SW Lee Blvd
Lawton, OK 73505-8340
Phone (580) 353-5860
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2068 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawton Eye Surgery, LLC | Current | Accepting new patients | |
| Carl L. Sylvester, MD PC | Current | Accepting new patients | |
| RGH Eye Clinic PLLC | Current | Accepting new patients | |
| J J Young MD | Past | Accepting new patients |
Locations
4214 SW Lee Blvd
Lawton, OK 73505
Phone (580) 353-5860
13321 N Meridian Ave
Ste 110
Oklahoma City, OK 73120
Phone (405) 607-8948
Dept 96 0392
Oklahoma City, OK 73196
10001 S Western Ave
Ste 200
Oklahoma City, OK 73139
Phone (405) 691-4520
13321 N Meridian Ave
Ste 101
Oklahoma City, OK 73120
Phone (405) 607-8948
Organizations & group practices 5
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.
-
- Ophthalmologic Surgery Clinic/Center
- Lawton, OK
- NPI 1922977230
-
- Ophthalmology Physician
- Oklahoma City, OK
- NPI 1528394103
-
- Ophthalmologic Surgery Clinic/Center
- Lawton, OK
- NPI 1457165086
-
- Ophthalmology Physician
- Lawton, OK
- NPI 1740214279
-
- Ambulatory Surgical Clinic/Center
- Lawton, OK
- NPI 1588777130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386201600000",
"number": "1497778518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735058340",
"telephone_number": "580-353-5860",
"fax_number": "580-353-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4214 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735058340",
"telephone_number": "580-353-5860",
"fax_number": "580-353-0792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPKINS",
"first_name": "RUSSELL",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2013-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100762530A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.