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NPI Code Detail

MEDICARE: DR. LISA ANN HOPKINS OD

MEDICARE: DR. LISA ANN HOPKINS OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist10495 TPLCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881683456
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA ANN HOPKINS OD
Provider Business Mailing Address
First Line : 5610 E 2ND ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-3904
Country : US
Telephone Number : 562-434-7775
Fax Number : 562-433-3119
Provider Business Practice Location Address
First Line : 5610 E 2ND ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-3904
Country : US
Telephone Number : 562-434-7775
Fax Number : 562-433-3119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 08/10/2010

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