Robert Koppany

Primary specialty

OptometristTaxonomy code 152W00000X

License

8523TG Issued in CA

Legal business name

ROBERT KOPPANY

Doing business as

Advanced Optometric Eyecare

Practice address

15908 Bear Valley Rd # a
Victorville, CA 92395-9547

Phone

(760) 243-4559

Fax

(760) 243-2052

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Koppany, O.D.

Title

Optometrist, Owner

Phone

(760) 243-4559

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Optometric Eyecare Doing business as

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1336385574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15908 BEAR VALLEY RD # A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923959547",
            "telephone_number": "760-243-4559",
            "fax_number": "760-243-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15908 BEAR VALLEY RD # A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923959547",
            "telephone_number": "760-243-4559",
            "fax_number": "760-243-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT KOPPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "KOPPANY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OPTOMETRIST, OWNER",
        "authorized_official_telephone_number": "760-243-4559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8523TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0085230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Optometric Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.