Elizabeth Coppola Wikman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4746 Issued in MA

Practice address

39 Green St
Newburyport, MA 01950-2652

Phone

(978) 465-8761

Fax

(978) 465-6228

NPI assigned

Mar 29, 2011

Last updated

Mar 29, 2011By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1174812390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443862",
            "telephone_number": "978-794-1445",
            "fax_number": "978-975-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502652",
            "telephone_number": "978-465-8761",
            "fax_number": "978-465-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKMAN",
        "first_name": "ELIZABETH",
        "middle_name": "COPPOLA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shih-Te Wen, MD
• Jenny Z Weng, PA-C
• Alain-Marc Werner, M.D.
• Ellen M Westman, ARNP
• Margaret White-Guthro, N.P.
• Tracy J Wilbraham, NP
• William T Benson DMD PC
• Marci Ann Williams, OTC
• Michael Williams, REV
• Peter Charles Williams, PH.D.

• Optometrist in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.