Active NPI
Doctors Kime Kopan Associates
- Optometrist
- Toledo, OH
National Provider Identifier
1881752095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2690T513
- Legal business name
- DOCTORS KIME KOPAN ASSOCIATES
- Practice address
- 4021 W Sylvania Ave
Toledo, OH 43623-4428 - Phone
- (419) 475-6181
- Fax
- (419) 475-5720
- NPI assigned
- Dec 4, 2006
- Last updated
- Mar 31, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda M Borrell
- Title
- Accounts Manager
- Phone
- (419) 475-6181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2690T513 | OH | Primary |
Addresses
Primary practice location
4021 W Sylvania Ave
Toledo, OH 43623-4428
Mailing address
4021 W Sylvania Ave
Toledo, OH 43623-4428
Phone (419) 475-6181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0854286 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Toledo, OH
- NPI 1952487514
-
- Optometrist
- Newport News, VA
- NPI 1639743412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427760000000",
"number": "1881752095",
"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",
"fax_number": "419-475-5720"
},
{
"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",
"fax_number": "419-475-5720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS KIME KOPAN ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2015-03-31",
"status": "A",
"authorized_official_last_name": "BORRELL",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ACCOUNTS MANAGER",
"authorized_official_telephone_number": "419-475-6181",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OH",
"license": "2690T513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0854286",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.