Individual provider Active NPI

Lisa Ann Hopkins, OD

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1881683456
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10495 TPL Issued in CA
Practice address
5610 E 2ND St
Long Beach, CA 90803-3904
Phone
(562) 434-7775
Fax
(562) 433-3119
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10495 TPL CA Primary

Addresses

Primary practice location

5610 E 2ND St
Long Beach, CA 90803-3904

Mailing address

5610 E 2ND St
Long Beach, CA 90803-3904
Phone (562) 434-7775

Other identifiers 1

IdentifierTypeStateIssuer
SD 0104950MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101214001252 CA Practitioner - Optometry 2163619271 Practice locations: Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5610 E 2ND St
Long Beach, CA 90803-3904
Phone (562) 434-7775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10495 TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Naime and Naime Optometric Corporation Optometrist Past Accepting new patients

Organizations & group practices 1

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1881683456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 E 2ND ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033904",
            "telephone_number": "562-434-7775",
            "fax_number": "562-433-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 E 2ND ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033904",
            "telephone_number": "562-434-7775",
            "fax_number": "562-433-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10495 TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD 0104950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.