Individual provider Active NPI

Alan Lee Copeland, O.D.

  • Optometrist
  • Sequim, WA
National Provider Identifier
1720192768
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003959 Issued in WA
Practice address
1110 W Washington St
Sequim, WA 98382-3270
Phone
(360) 683-1590
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003959 WA Primary

Addresses

Primary practice location

1110 W Washington St
Sequim, WA 98382-3270

Mailing address

302 Billy Smith Rd
Port Angeles, WA 98362-9314
Phone (360) 681-8561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20100512000006 WA Practitioner - Optometry 1759338825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Margot Williams OD PLLCGroup PAC ID 1456579986, 2 clinicians

Practice addresses (Care Compare)

3411 E Kolonels Way
Port Angeles, WA 98362-9089
Phone (360) 452-6131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00003959WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Margot Williams, OD, PLLC Optometrist CurrentSince Apr 4, 2018 Accepting new patients

Locations

3411 E Kolonels Way
Port Angeles, WA 98362
Phone (360) 452-3105

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1720192768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BILLY SMITH RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629314",
            "telephone_number": "360-681-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W WASHINGTON ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823270",
            "telephone_number": "360-683-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "ALAN",
        "middle_name": "LEE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

Verify at the official NPI Registry.