Doctor Name: | TERESA HOPKINS |
NPI Number: | 1487085718 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OPTICIAN |
License Number: | |
Business Practice Address: | 316 W 8th St Coffeyville, KS - 673375829 |
Business Phone Number: | 6205154272 |
Business Fax Number: | 6202514498 |
Mailing Address: | 316 W 8th St, COFFEYVILLE |
State: | KS |
Postal Code: | 673375829 |
Phone Number: | 6205154272 |
Fax Number: | 6202514498 |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |