Steven J Kopp OD PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

2340ATL Issued in OR

Legal business name

STEVEN J KOPP OD PC

Practice address

63455 N Highway 97
Suite 75
Bend, OR 97701-6764

Phone

(541) 389-3329

Fax

(541) 318-3390

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Tina L Kopp

Title

Office Manager

Phone

(541) 389-3329

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1801053012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63455 N HIGHWAY 97",
            "address_2": "SUITE 75",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016764",
            "telephone_number": "541-389-3329",
            "fax_number": "541-318-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63455 N HIGHWAY 97",
            "address_2": "SUITE 75",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016764",
            "telephone_number": "541-389-3329",
            "fax_number": "541-318-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J KOPP OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "KOPP",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-389-3329",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "2340ATL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Bend, OR
• Providers in Bend, OR by specialty
• Preferred Provider Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.