Constance S Copeland, OD, PHD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011082 Issued in IL

Practice address

8038 Macintosh LN
Rockford, IL 61107-5336

Phone

(815) 332-6800

Fax

(815) 332-6810

NPI assigned

Nov 2, 2005

Last updated

Mar 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI, IL2 enrollments

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 2

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Sight and HearingGroup PAC ID 9032119193, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Center for Sight & Hearing

  • Audiologist
  • Rockford, IL
  • NPI 1053487942

  Optometrist

  Medicare reassignment Care Compare group NPD
• Christina J. Levi O D P C

  dba Edwardsville Vision Center

  • Optometrist
  • Edwardsville, IL
  • NPI 1477703411
  Medicare reassignment NPD
• Grayslake Eyecare Assoc LTD

  • Optometrist
  • Grayslake, IL
  • NPI 1003031030
  Medicare reassignment NPD
• Grishma P. Patel, O.D. & Associates, P.C.

  dba Advanced Eyecare of Wheaton

  • Optometrist
  • Wheaton, IL
  • NPI 1134453897
  Medicare reassignment NPD
• Myeyedr Optometry of Illinois, LLC

  dba MyEyeDr.

  • Optometrist
  • Chicago, IL
  • NPI 1245695378
  Medicare reassignment NPD
• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890

  IL

  Medicare reassignment NPD
• Shah Vision Consultants Inc

  • Optometrist
  • Rockford, IL
  • NPI 1003119694

  WI

  Medicare reassignment
• Myeyedr Optometry of Illinois, LLC

  • Optometrist
  • Chicago, IL
  • NPI 1154297752
  NPD
• Myeyedr Optometry of Illinois, LLC

  dba MyEyeDr.

  • Optometrist
  • Chicago, IL
  • NPI 1740645654
  NPD
• Oneopto Il 1 PLLC

  dba Lake Zurich Eyecare

  • Optometrist
  • Lake Zurich, IL
  • NPI 1699647016
  NPD
• SKK Optometrists PLLC

  dba Lake Zurich EyeCare

  • Optometrist
  • Lake Zurich, IL
  • NPI 1972615391
  NPD
• Albina Optometric

  • Optometrist
  • Burbank, IL
  • NPI 1619475852
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1508857202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8038 MACINTOSH LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075336",
            "telephone_number": "815-332-6800",
            "fax_number": "815-332-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8038 MACINTOSH LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075336",
            "telephone_number": "815-332-6800",
            "fax_number": "815-332-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "CONSTANCE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38723000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38603100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisha L. Cook, M. D
• Meghan Cook, LSW
• Sheryl L Cook, OT
• Cody Cooper, RBT
• Jean Cooper, LCPC
• Danny L Copeland, MD
• Richard Terry Coppoletti, MD
• Maria Natalia Corales, LMT
• Anthony J Corbo
• David M Corcoran, DDS

• Optometrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.