Individual provider Active NPI

Rachel Anne Copley, OD

  • Optometrist
  • Muskegon, MI
National Provider Identifier
1326607177
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005251 Issued in MI
Practice address
1930 E Apple Ave Ste E
Muskegon, MI 49442-4277
Phone
(231) 777-2822
NPI assigned
Jun 6, 2019
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005251 MI Primary

Addresses

Primary practice location

1930 E Apple Ave Ste E
Muskegon, MI 49442-4277

Mailing address

1516 Crystal Lake Rd
Whitehall, MI 49461-9555
Phone (231) 215-0905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20190805003338 MI Practitioner - Optometry 1951638568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E.C. One, PLLCGroup PAC ID 0547217184, 10 clinicians

Practice addresses (Care Compare)

1930 E Apple Ave
Suite E
Muskegon, MI 49442-4277
Phone (231) 777-2822

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care One, PLLC Optometrist CurrentSince Jun 18, 2019 Accepting new patients
E.C. One, PLLC Optometrist CurrentSince Jun 18, 2019 Accepting new patients

Locations

1231 W Main St
Fremont, MI 49412
Phone (231) 924-2700

1930 E Apple Ave
Muskegon, MI 49442
Phone (231) 773-5394

1930 E Apple Ave
Ste E
Muskegon, MI 49442
Phone (231) 777-2822

2984 Henry St
Norton Shores, MI 49441
Phone (231) 737-7700

105 W Exchange St
Spring Lake, MI 49456
Phone (616) 846-0620

314 W Savidge St
Spring Lake, MI 49456
Phone (616) 844-7000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1326607177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 CRYSTAL LAKE RD",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494619555",
            "telephone_number": "231-215-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E APPLE AVE STE E",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424277",
            "telephone_number": "231-777-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLEY",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.