Healthcare Provider Details

I. General information

NPI: 1790173748
Provider Name (Legal Business Name): DR. ANNA C. HOPKINS & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2014
Last Update Date: 12/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7426 BEECHMONT AVE UNIT 209
CINCINNATI OH
45255-4105
US

IV. Provider business mailing address

7426 BEECHMONT AVE UNIT 209
CINCINNATI OH
45255-4105
US

V. Phone/Fax

Practice location:
  • Phone: 513-232-5777
  • Fax:
Mailing address:
  • Phone: 513-232-5777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number6128
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number6128
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6128
License Number StateOH

VIII. Authorized Official

Name: ANNA HOPKINS
Title or Position: OPTOMETRIST
Credential: O.D.
Phone: 513-232-5777