NPIMap

Organization Active NPI

Coppedge and Wooster PA

  • Optometrist
  • Brooksville, FL
National Provider Identifier
1497923122
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COPPEDGE AND WOOSTER PA
Practice address
86 Ponce de Leon Blvd
Brooksville, FL 34601-2818
Phone
(352) 796-2141
Fax
(352) 796-2325
NPI assigned
Feb 15, 2008
Last updated
Feb 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Dr. John Hill Coppedge Jr., O.D.NPI 1164449690
Title
Vice President
Phone
(352) 796-2141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

86 Ponce de Leon Blvd
Brooksville, FL 34601-2818

Mailing address

86 Ponce de Leon Blvd
Brooksville, FL 34601-2818
Phone (352) 796-2141

National Provider Directory

National Provider Directory

Locations

86 Ponce de Leon Blvd
Brooksville, FL 34601
Phone (352) 796-2141

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1497923122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 PONCE DE LEON BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012818",
            "telephone_number": "352-796-2141",
            "fax_number": "352-796-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 PONCE DE LEON BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012818",
            "telephone_number": "352-796-2141",
            "fax_number": "352-796-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPEDGE AND WOOSTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "COPPEDGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HILL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-796-2141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.