Dr. K.J.Kopecko, O.D. and Dr. Christine L. Mayer, O.D., Optometry Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

7004 Issued in CA

Legal business name

DR. K.J.KOPECKO, O.D. AND DR. CHRISTINE L. MAYER, O.D., OPTOMETRY CORP

Doing business as

Drs. Kopecko and Mayer Vision Clinic Optometry

Practice address

2623 Springs Rd
Vallejo, CA 94591-5712

Phone

(707) 643-8202

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Christine Louise Mayer

Title

Cfo

Phone

(707) 643-8202

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Drs. Kopecko and Mayer Vision Clinic Optometry Doing business as

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1740300995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 SPRINGS RD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 SPRINGS RD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915712",
            "telephone_number": "707-643-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. K.J.KOPECKO, O.D. AND DR. CHRISTINE L. MAYER, O.D., OPTOMETRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "707-643-8202"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0022000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Kopecko and Mayer Vision Clinic Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.