Stanley M Kopelow M D Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G14728 Issued in CA

Legal business name

STANLEY M KOPELOW M D INC

Practice address

16311 Ventura Blvd
Suite # 750
Encino, CA 91436-4325

Phone

(818) 990-3623

Fax

(818) 788-1056

NPI assigned

Mar 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stanley Martin Kolelow, M D

Title

Owner

Phone

(818) 990-3623

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley M Kopelow, MD

  • Ophthalmology Physician
  • Encino, CA
  • NPI 1215918602
  Medicare reassignment NPD

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1336463363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE # 750",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364325",
            "telephone_number": "818-990-3623",
            "fax_number": "818-788-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE # 750",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364325",
            "telephone_number": "818-990-3623",
            "fax_number": "818-788-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY M KOPELOW M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "KOLELOW",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-990-3623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G14728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Stanescu, PTA
• Erin Marisa Stanford, MA, OTR/L
• Shannon Nicole Stanford, BCBA
• Edward Donald Stanislawski, D.C., C.S.C.S.
• Stanley J. Leiken, MD Inc.
• Starbright Medical Clinic Inc
• Ariella Stark
• Lisa M Statner, RD
• Nicholas T Stauth, M.S.
• Greg Allen Steckler, MFT

• Ophthalmology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.