Robert Koppany, OD, a Professional Corp.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8523TPG Issued in CA

Legal business name

ROBERT KOPPANY, OD, A PROFESSIONAL CORP.

Practice address

4840 W 123Rd St
Hawthorne, CA 90250-3514

Phone

(310) 679-5604

Fax

(310) 644-6796

NPI assigned

Dec 18, 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 J Koppany, O.D.

Title

Optometrist

Phone

(310) 679-5604

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1487890695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 W 123RD ST",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503514",
            "telephone_number": "310-679-5604",
            "fax_number": "310-644-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 W 123RD ST",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503514",
            "telephone_number": "310-679-5604",
            "fax_number": "310-644-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT KOPPANY, OD, A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "KOPPANY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "310-679-5604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8523TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0085230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Rivero
• Daniela Rizo-Martinez, LVN
• Sadie Jasmin Rizo-Martinez, RN
• RL Ross Enterprise LLC
• RL Ross Enterprises LLC
• Robert Lance Charet. MD, Inc.
• Alecsandra Olese Roberts, M.D.
• Trenais Marie Roberts
• Nelton J Robertson
• Nelton Joseph Robertson III, HEARING AID DISPENSE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.