Andrew B Kopstein, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00037629 Issued in WA

Practice address

502 S M St
Tacoma, WA 98405-3728

Phone

(253) 301-4953

Fax

(253) 301-4845

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.kopsteinmd.p17@direct.proliance.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evergreen Eye Center, PLLC

  • Ophthalmology Physician
  • Federal Way, WA
  • NPI 1700959293
  Medicare reassignment NPD
• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1023170313
  Medicare reassignment NPD
• Evergreen Eye Center, PLLC

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
  • NPI 1184689408
  NPD
• Evergreen Eye Center, PLLC

  • Ophthalmology Physician
  • Auburn, WA
  • NPI 1346319852
  NPD
• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463
  NPD
• Proliance Surgeons, Inc., P.S.

  • Multi-Specialty Clinic/Center
  • Mount Vernon, WA
  • NPI 1629409297
  NPD
• Evergreen Eye Center, PLLC

  • Ambulatory Surgical Clinic/Center
  • Federal Way, WA
  • NPI 1821167479
  NPD (past)
• Proliance Surgeons, Inc., P.S.

  • Ambulatory Surgical Clinic/Center
  • Tacoma, WA
  • NPI 1780807081
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1124050117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25020",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980932020",
            "telephone_number": "206-212-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S M ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053728",
            "telephone_number": "253-301-4953",
            "fax_number": "253-301-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPSTEIN",
        "first_name": "ANDREW",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00037629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002952",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra H Koopman, LW61313713
• Sarah Ann Kopaciewicz
• Avery Kopacz, MD
• Robert Kopec, DNP, ARNP
• Zachary Aaron Kopelman, DO
• Bridget Francis Kord, MA
• Korean Women'S Association
• Korean Women'S Association
• Korean Women'S Association
• Peter Korin, MSW

• Ophthalmology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.