Matthew Koppinger, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002588 Issued in AZ

Practice address

6351 E Broadway Blvd Ste 115
Tucson, AZ 85710-3510

Phone

(520) 467-4457

NPI assigned

May 26, 2022

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

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Optometric Consulting Services, Inc

  • Optometrist
  • Yuma, AZ
  • NPI 1285200022
  Medicare reassignment NPD
• Yuma Vision Center, Inc

  • Optometrist
  • Yuma, AZ
  • NPI 1790972388
  Medicare reassignment NPD

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1124766290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6351 E BROADWAY BLVD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103510",
            "telephone_number": "204-674-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 E BROADWAY BLVD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103510",
            "telephone_number": "520-467-4457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 S Pacific Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853653547",
            "country_code": "US",
            "telephone_number": "928-782-7557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPPINGER",
        "first_name": "MATTHEW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kopec, MT
• Kerry Kopecky, FNP
• Brian J Kopp, PHARM.D.
• Joseph Kopp
• Lisa Kopp
• Pallavi Reddy Koppolu, MD
• Carol Kopsco, L.C.S.W.
• Hannah Korah
• Kevin Alexander Koralewski, O.D.
• Sophia Korb

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.