Kathleen Joan Kopecko, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7655 Issued in CA

Practice address

2581 Nut Tree Rd
Suite C
Vacaville, CA 95687-6915

Phone

(707) 447-1332

Fax

(707) 447-4894

NPI assigned

Jan 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1194796235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 NUT TREE RD",
            "address_2": "SUITE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876915",
            "telephone_number": "707-447-1332",
            "fax_number": "707-447-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 NUT TREE RD",
            "address_2": "SUITE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876915",
            "telephone_number": "707-447-1332",
            "fax_number": "707-447-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPECKO",
        "first_name": "KATHLEEN",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0076550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haeja Koh
• Brittany Kohlberger, PH.D.
• Josette Gregorz Kohn, MD
• Ellen R. Kolarik, MD
• Debra Konecni, CLINICAL INTERN
• Jamie Lynn Kordick, PSY.D.
• Amardeep Kori, PHARM D
• Kathleen Marie Kovac, LCSW
• Teal Ashley Kozel, PSYD
• Shirley Ann Kramer-Webb, PH.D.

• Optometrist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.