Kopan Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KOPAN EYECARE LLC

Practice address

4021 W Sylvania Ave
Toledo, OH 43623-4428

Phone

(419) 475-6181

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Born

Title

Receptionist

Phone

(419) 475-6181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 4

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.

• Dean Kopan, O.D,

  • Optometrist
  • Toledo, OH
  • NPI 1952487514
  Medicare reassignment Care Compare group NPD
• Bryn Leslee Langenderfer, OD

  • Optometrist
  • Newport News, VA
  • NPI 1639743412

  OH

  Medicare reassignment Care Compare group NPD
• Timothy Q Kime, O.D.

  • Optometrist
  • Toledo, OH
  • NPI 1851472740
  NPD
• Tracey G Needham, O.D.

  • Optometrist
  • Rossford, OH
  • NPI 1245305754
  NPD (past)

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1861252900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234428",
            "telephone_number": "419-475-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234428",
            "telephone_number": "419-475-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPAN EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "BORN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "419-475-6181"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharnita Koonce
• Sarah Koontz, PHARMD
• Koop Family Physical Therapy LLC
• Douglas P Koop, DPT
• Michelle Lee Shine Koop, DPT
• Dean Kopan, O.D,
• Thomas Kopp, M.D.
• Jeremy Allen Koppus
• Madison Paige Korak
• Megan Julia Koralewski

• Optometrist in Toledo, OH
• Providers in Toledo, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.