Active NPI
Lori Ann Copilevitz, O.D.
- Optometrist
- Los Angeles, CA
National Provider Identifier
1669784088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15113 TLG
- Practice address
- 1515 N Vermont Ave FL 6
Los Angeles, CA 90027-5337 - Phone
- (800) 954-8000
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 15113 TLG | CA | Primary |
| Optometrist | 152W00000X | 3353AT | OR |
Addresses
Primary practice location
1515 N Vermont Ave FL 6
Los Angeles, CA 90027-5337
Mailing address
1515 N Vermont Ave FL 6
Los Angeles, CA 90027-5337
Phone (800) 954-8000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15113 | CA | MD | Clinical Psychologist |
| 15113 TLG | CA | MD | Optometrist |
| 3353AT | OR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1669784088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N VERMONT AVE FL 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275337",
"telephone_number": "800-954-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N VERMONT AVE FL 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275337",
"telephone_number": "800-954-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPILEVITZ",
"first_name": "LORI",
"middle_name": "ANN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15113 TLG",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3353AT",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.