Jill Kopechek, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.006752 Issued in OH

Practice address

1558 Coshocton Ave
Mount Vernon, OH 43050-5416

Phone

(937) 409-5531

NPI assigned

Jul 16, 2019

Last updated

Jul 16, 2019By the provider in NPPES

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 OH

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

Ohio State University - College of Optometry, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Vision Source MarysvilleGroup PAC ID 6800295064, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Source Marysville

  • Optometrist
  • Marysville, OH
  • NPI 1992316848
  Medicare reassignment Care Compare group NPD
• More Than Sight LLC

  • Optometrist
  • Mount Vernon, OH
  • NPI 1962043893
  NPD Authorized official
• Truitt &Truitt Optometrists Inc

  • Optometrist
  • Marysville, OH
  • NPI 1891729620
  Medicare reassignment

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1861044125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7727 STRAWBERRY FLDS",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432358955",
            "telephone_number": "937-409-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430505416",
            "telephone_number": "937-409-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPECHEK",
        "first_name": "JILL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knox Recovery LLC
• Knox Surgical LLC
• Knox Urology Inc
• Heidi Koch, LMT
• Matthew P. Koehler II, M.D.
• Sylvi Kyllikki Koso, MD
• David W Kramer
• Samavedam Ananta Krishna, M.D.
• Frank Kroninger, CDCA PRELIMINARY
• Jordan Kroninger

• Optometrist in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.