Individual provider Active NPI

Deborah Wagner Cope, OD

  • Optometrist
  • Maricopa, AZ
National Provider Identifier
1821168394
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002069 Issued in AZ
Practice address
20928 N John Wayne Pkwy Ste C6
Maricopa, AZ 85139-2924
Phone
(520) 316-4388
Fax
(520) 316-4393
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008156 IL
Optometrist 152W00000X OPT-002069 AZ Primary

Addresses

Primary practice location

20928 N John Wayne Pkwy Ste C6
Maricopa, AZ 85139-2924

Mailing address

955 W Southern Ave Ste 101
Mesa, AZ 85210-4903
Phone (480) 961-1865

Other practice location 1

14702 S Cicero
Midlothian, IL 60445
Phone (708) 687-2115

Other names 1

  • Deborah Rose Wagner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220912000714 AZ Practitioner - Optometry 0547356768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince Aug 29, 2022 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Aug 29, 2022 Accepting new patients
Ken Mia Vision LLC Optometrist PastSince Nov 3, 2019 Accepting new patients

Locations

2840 Highway 95
Bullhead City, AZ 86442
Phone (928) 758-1450

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

5707 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (602) 512-3299

3505 N Stockton Hill Rd
Ste 180
Kingman, AZ 86409
Phone (928) 757-7670

20928 N John Wayne Pkwy
Ste C6
Maricopa, AZ 85139
Phone (520) 316-4388

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

8215 W Bell Rd
Ste 122
Peoria, AZ 85382
Phone (623) 878-6948

711 E Bell Rd
Ste 2
Phoenix, AZ 85022
Phone (602) 841-9947

85 W Combs Rd
Ste 108
San Tan Valley, AZ 85140
Phone (602) 239-4286

13856 W Waddell Rd
Ste 103
Surprise, AZ 85379
Phone (623) 546-9557

2040 E Rio Salado Pkwy
Ste 120
Tempe, AZ 85288
Phone (480) 966-4992

1785 W Valencia Rd
Unit 101
Tucson, AZ 85746
Phone (520) 807-5721

4663 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 322-0873

3788 S 16th Ave
Tucson, AZ 85713
Phone (520) 388-9741

4386 N Oracle Rd
Ste 100
Tucson, AZ 85705
Phone (520) 887-4435

8812 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 296-8200

182 W 32nd St
Yuma, AZ 85364
Phone (928) 726-7757

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz
  • Direct secure messaging: dr.deborah.cope@direct.eyecare-partners.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1821168394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104903",
            "telephone_number": "480-961-1865",
            "fax_number": "480-893-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20928 N JOHN WAYNE PKWY STE C6",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392924",
            "telephone_number": "520-316-4388",
            "fax_number": "520-316-4393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14702 S Cicero",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "IL",
            "postal_code": "60445",
            "country_code": "US",
            "telephone_number": "708-687-2115",
            "fax_number": "708-687-6537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPE",
        "first_name": "DEBORAH",
        "middle_name": "WAGNER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008156",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "WAGNER",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

Verify at the official NPI Registry.