Healthcare Provider Details

I. General information

NPI: 1831401637
Provider Name (Legal Business Name): GREGORY R HOPKINS II OD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: GREG R HOPKINS II OD, MS

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1664 NEIL AVE
COLUMBUS OH
43201-2333
US

IV. Provider business mailing address

1219 LINCOLN RD
COLUMBUS OH
43212-3237
US

V. Phone/Fax

Practice location:
  • Phone: 614-292-1104
  • Fax: 614-292-2781
Mailing address:
  • Phone: 513-703-5344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5952 T2867
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number5952 T2867
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: