Douglas Kopp

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G3529 Issued in TX

Practice address

2222 W 24TH St
Plainview, TX 79072-1802

Phone

(806) 293-5165

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

Yes

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 TX

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: douglas.kopp@direct.myteamcare.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.

• Methodist Hospital Plainview Texas

  • General Acute Care Hospital
  • Plainview, TX
  • NPI 1831220904
  Medicare reassignment NPD
• Methodist Hospital Plainview Texas

  • Ambulatory Surgical Clinic/Center
  • Plainview, TX
  • NPI 1174630198
  NPD

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1164424495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W 24TH ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W 24TH ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721802",
            "telephone_number": "806-293-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "DOUGLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G3529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin L Stewart, MD, PA
• Rhealine Edwinna Kilburn, COTA
• Christine Kim, DDS
• Kindstar, Inc.
• Sharla Beth Knippa, LPC
• Wilburn H Lackey, ED.D. L.P.C. L.S.O.T
• Debra Lafont
• Sergio Andres Lara, MD
• Debra Lavender-Bratcher, LCSW
• Herlinda Lee, RDH

• Ophthalmology Physician in Plainview, TX
• Providers in Plainview, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.