Martin R Copeland, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006680 Issued in NY

Practice address

101 South Bergen Place
Freeport, NY 11120

Phone

(516) 623-3600

Fax

(516) 623-9191

NPI assigned

Feb 16, 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 IA

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

Specialty

Optometry

Education

Southern College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Copeland Eyecare PLLCGroup PAC ID 1759557085, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.28 of 100Reported as group

Quality

80.56

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Copeland Eyecare PLLC

  • Optometrist
  • Cedar Rapids, IA
  • NPI 1619244787
  Medicare reassignment Care Compare group NPD Authorized official
• Coralville Eye Associates, Inc

  • Optometrist
  • Coralville, IA
  • NPI 1619480951
  NPD Authorized official

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1215901038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 CORAL RIDGE AVE",
            "address_2": "STE 518",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412805",
            "telephone_number": "917-532-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH BERGEN PLACE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "11120",
            "telephone_number": "516-623-3600",
            "fax_number": "516-623-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "MARTIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02420322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Alicia Colson, PHD, LCSW
• Comfort Circle MFT
• Communication Horizon, LLC
• Clayton Conanan
• Megan M Conti, LCSW-R, DSW
• Corey Bickoff MD PC
• Cosmetic & Laser Dental Studio
• Courtyard at MCC
• Marcus Joshua Crafton
• Reginale Craig, RN

• Optometrist in Freeport, NY
• Providers in Freeport, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.