Healthcare Provider Details

I. General information

NPI: 1457165086
Provider Name (Legal Business Name): LAWTON EYE SURGERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4214 SW LEE BLVD
LAWTON OK
73505-8340
US

IV. Provider business mailing address

4212 S. W. LEE BOULEVARD
LAWTON OK
73505
US

V. Phone/Fax

Practice location:
  • Phone: 580-353-5860
  • Fax: 580-353-0792
Mailing address:
  • Phone: 580-353-5860
  • Fax: 580-353-8764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. RUSSELL G HOPKINS
Title or Position: CEO
Credential: OD
Phone: 405-368-2353