Penelope Marie Copenhaver, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1704 Issued in NC

Practice address

610 State Farm Rd Ste a
Suite a
Boone, NC 28607-4738

Phone

(828) 264-0042

Fax

(828) 264-8612

NPI assigned

Jun 3, 2006

Last updated

Nov 25, 2014By 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 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Pennsylvania College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Carolina Eye Associates, PAGroup PAC ID 9931235157, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: penelope.copenhaver@direct.wcea.nextgenshare.com

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.

• Western Carolina Eye Associates, PA

  • Ophthalmology Physician
  • Boone, NC
  • NPI 1093776403

  Optometrist

  Medicare reassignment Care Compare group NPD
• Western Carolina Eye Associates, PA

  • Optometrist
  • Jefferson, NC
  • NPI 1871696740
  NPD
• Huntingdon Valley Eye Care Consultants, LTD.

  • Ophthalmology Physician
  • Meadowbrook, PA
  • NPI 1760437503
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1710925540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 STATE FARM RD",
            "address_2": "SUITE A WESTERN CAROLINA EYE ASSOCIATES, PA",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074738",
            "telephone_number": "828-264-0042",
            "fax_number": "828-264-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 STATE FARM RD STE A",
            "address_2": "SUITE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074738",
            "telephone_number": "828-264-0042",
            "fax_number": "828-264-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPENHAVER",
        "first_name": "PENELOPE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1710925540",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Elizabeth Cone, MA, LMHC, LPC
• Stacy Ann Conn, DMDI BOARD CERTIFICA
• Kathleen Elizabeth Connelly, PHD
• Larry James Cook, D.D.S
• Natalie Cooke Cooper, OTL
• Rick Jay Cornella, M.D.
• Cornerstone Services, Inc.
• Teresa Cornett, CFOM
• Amanda Cottrell, M.A., NCC, LPC-A
• County of Watauga Office of County Accountant (Watauga County EMS)

• Optometrist in Boone, NC
• Providers in Boone, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.