Organization Active NPI

Alexandra Copeland OD PLLC

Doing business as Innovative Eye Care

  • Optometrist
  • Kalamazoo, MI
National Provider Identifier
1750807335
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALEXANDRA COPELAND OD PLLC
Doing business as
Innovative Eye Care
Practice address
7161 W Q Ave
Kalamazoo, MI 49009-5951
Phone
(847) 738-1517
NPI assigned
Aug 16, 2017
Last updated
Aug 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Alexandra Copeland, ODNPI 1730434390
Title
Optometrist
Phone
(847) 738-1517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

7161 W Q Ave
Kalamazoo, MI 49009-5951

Mailing address

55 S Vail Ave Apt 1214
Arlington Heights, IL 60005-1875
Phone (847) 738-1517

Other names 1

  • Innovative Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171005002377 MI Part B Supplier - Clinic/Group Practice 7618242314 Receives reassigned benefits from 2 practitioners
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

7161 W Q Ave
Kalamazoo, MI 49009
Phone (269) 870-7334

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1750807335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S VAIL AVE APT 1214",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051875",
            "telephone_number": "847-738-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7161 W Q AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095951",
            "telephone_number": "847-738-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA COPELAND OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "847-738-1517",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.