Lisa Anne Kopper, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13310 Issued in CA

Practice address

1034 Vine St
Paso Robles, CA 93446-2528

Phone

(805) 238-2020

NPI assigned

Jul 6, 2007

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 CA

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

Southern California College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Optometric Care of Paso Robles IncGroup PAC ID 3476944877, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.kopper@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 and National Provider Directory roles.

• Family Optometric Care of Paso Robles, Inc

  • Optometrist
  • Paso Robles, CA
  • NPI 1306434931
  Medicare reassignment Care Compare group NPD Authorized official
• J Brent Meek O D Inc

  • Optometrist
  • Paso Robles, CA
  • NPI 1770654345
  Medicare reassignment NPD

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508064072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 AVALON ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934054902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462528",
            "telephone_number": "805-238-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPER",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Kim, PHARMD
• Kathleen D Klein
• Francois G Kleynhans
• Lisa Louise Klockenteger, RDHAP
• Roseann Koerber, DPT
• Koushan H. Azad Dental Corporation
• Charles David Krill, D.D.S.
• Deborah Ann Kronstad, M.D.
• Rouan Edwin Kruger, PHARMACIST
• Karen Roberson Kudija, OD

• Optometrist in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.