Amanda Nicole Coppedge, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4215 Issued in FL

Practice address

240 N. Lecanto Hwy.
Lecanto, FL 34461

Phone

(352) 746-2246

NPI assigned

Aug 11, 2007

Last updated

Jul 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coppedge Eyecare, LLCGroup PAC ID 9032251160, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.coppedge@direct.revolutionehr.com

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.

• Coppedge Eyecare, LLC

  • Optometrist
  • Brooksville, FL
  • NPI 1568690238
  Medicare reassignment Care Compare group NPD
• West Coast Eye Institute PA

  • Ophthalmology Physician
  • Lecanto, FL
  • NPI 1437269446

  Optometrist

  Medicare reassignment NPD
• Coppedge and Wooster PA

  • Optometrist
  • Brooksville, FL
  • NPI 1497923122
  NPD (past)

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1356533566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619191",
            "telephone_number": "352-746-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N. LECANTO HWY.",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "34461",
            "telephone_number": "352-746-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPEDGE",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-11",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfortable Care Dental Health Professionals, P.a. (Summit View Dental Care)
• Comfortable Care Dental Health Professionals, P.a. (Advanced Dentistry of Citrus County)
• Compass Rose of Lecanto, LLC (Compass Rose of Lecanto)
• Sherry Lorinda Connors, PT
• Copa Physical Therapy, LLC
• Cornerstone Caregiving East LLC (Cornerstone Caregiving)
• CRQ Enterprises LLC (Home Instead Senior Care of Citrus County)
• Myriam Beatriz Cruz-Calderon,, MD
• Crystal Always There (Afch)
• Mercedia Stevenson Cureton, APRN

• Optometrist in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.