Individual provider Active NPI

Blake Hopkins, OD

  • Optometrist
  • Pearisburg, VA
National Provider Identifier
1619711587
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003408 Issued in VA
Practice address
206 Kinter Way
Pearisburg, VA 24134-2293
Phone
(540) 921-4116
Fax
(540) 921-4119
NPI assigned
Jun 24, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003408 VA Primary

Addresses

Primary practice location

206 Kinter Way
Pearisburg, VA 24134-2293

Mailing address

324 Oakvale Rd Ste 100
Princeton, WV 24740-3829
Phone (304) 425-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240809001602 VA Practitioner - Optometry 7810435708 Reassigns benefits to 1 organization
I20241022003224 WV Practitioner - Optometry 7810435708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices
New River Eye Care Family Optometry PCGroup PAC ID 7618152950, 5 clinicians
Appalachian Eye Care IncGroup PAC ID 1951588730, 6 clinicians

Practice addresses (Care Compare)

206 Kinter Way
Pearisburg, VA 24134-2293
Phone (540) 921-4116

324 Oakvale Rd
Suite 100
Princeton, WV 24740-3829
Phone (304) 425-2444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003408VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Eye Care Inc Optometrist CurrentSince Jul 20, 2024 Accepting new patients
New River Eye Care Family Optometry PC Optometrist CurrentSince May 22, 2024 Accepting new patients
New River Eye Care Optometrist Past Accepting new patients
Vistar Eye Center, Inc Optometrist PastSince May 22, 2024 Accepting new patients

Locations

206 Kinter Way
Pearisburg, VA 24134
Phone (540) 921-4116

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1619711587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 OAKVALE RD STE 100",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403829",
            "telephone_number": "304-425-2444",
            "fax_number": "304-425-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 KINTER WAY",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241342293",
            "telephone_number": "540-921-4116",
            "fax_number": "540-921-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "BLAKE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearisburg, VA

Sources for this page

Verify at the official NPI Registry.