MEDICARE: DR. GEORGE A HOPKINS O.D.

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
1	152W00000X	Optometrist	1208-3	KS

General Provider Information

NPI Number	:	1912988213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE A HOPKINS O.D.

Provider Business Mailing Address
First Line	:	2508 CASEYS DR
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-3314
Country	:	US
Telephone Number	:	620-275-5375
Fax Number	:	620-275-2036

Provider Business Practice Location Address
First Line	:	2508 CASEYS DR
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-3314
Country	:	US
Telephone Number	:	620-275-5375
Fax Number	:	620-275-2036

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	07/08/2007

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