Individual provider Active NPI

A.R Copely Jr., OD

  • Optometrist
  • Orlando, FL
National Provider Identifier
1629067020
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP000913 Issued in FL
Practice address
1455 W Holden Ave
Orlando, FL 32839-1702
Phone
(407) 855-3100
Fax
(407) 855-5281
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP000913 FL Primary

Addresses

Primary practice location

1455 W Holden Ave
Orlando, FL 32839-1702

Mailing address

1455 W Holden Ave
Orlando, FL 32839-1702
Phone (407) 855-3100

Other identifiers 1

IdentifierTypeStateIssuer
104626200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP000913FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Singh Optometric Care PLLC Optometrist Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1629067020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W HOLDEN AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391702",
            "telephone_number": "407-855-3100",
            "fax_number": "407-855-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W HOLDEN AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391702",
            "telephone_number": "407-855-3100",
            "fax_number": "407-855-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELY",
        "first_name": "A.R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP000913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104626200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.