Carol Lynn Kopke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

322 W Army Trail Rd
Ste 130
Bloomingdale, IL 60108-5613

Phone

(630) 893-1450

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optica Eye Center Associates IncGroup PAC ID 6901100593, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optica Eye Center Associates, Inc.

  • Optometrist
  • Bloomingdale, IL
  • NPI 1265596209
  Medicare reassignment Care Compare group NPD Authorized official
• Optica Eye Center Inc

  • Optometrist
  • Melrose Park, IL
  • NPI 1093870677
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841354875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W ARMY TRAIL RD",
            "address_2": "STE 130",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601085613",
            "telephone_number": "630-893-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W ARMY TRAIL RD",
            "address_2": "STE 130",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601085613",
            "telephone_number": "630-893-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPKE",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin S Klein, PT
• Kristen Klocker, APN
• Sandra Beth Koenig, RPH
• Mandeep S Kohli, D.O
• Kellie Konstantinidis, DT
• Pranav K Koshiya, RPH
• Ira Kosta
• Alicja Kostka, PTA
• Tejash Kothari, PHARM D-RPH
• Corazon G Krakau

• Optometrist in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.