Hopkins, Russell Glenn
Hopkins, Russell Glenn is an individual health care provider with primary practice located at 4214 Sw Lee Blvd , Lawton OK 73505-8340. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hopkins, Russell Glenn can be contacted via phone (580) 353-5860.Contact Information
Primary practice address
4214 Sw Lee Blvd
Lawton OK 73505-8340
Phone: (580) 353-5860
Fax: (580) 353-0792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2068 | Oklahoma |
Profile Details
| NPI number | 1497778518 |
|---|---|
| LBN Legal business name | Hopkins, Russell Glenn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Dec 5th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497778518 | NPPES |
| Oklahoma | MEDICAID | 100762530A |
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