Individual provider Active NPI

Russell Glenn Hopkins, O.D.

  • Optometrist
  • Lawton, OK
National Provider Identifier
1497778518
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2068 Issued in OK
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

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100762530AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081201000251 OK Practitioner - Optometry 4082774666 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RGH Eye Clinic PLLCGroup PAC ID 0042703084, 6 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2068OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lawton Eye Surgery, LLC CurrentSince Apr 1, 2025 Accepting new patients
Carl L. Sylvester, MD PC CurrentSince Mar 25, 2025 Accepting new patients
RGH Eye Clinic PLLC CurrentSince Oct 27, 2025 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.

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

Verify at the official NPI Registry.