Organization Active NPI

K J Kopecko O D Christine L Mayer O D Optometry Corp

Doing business as Drs. Kopecko and Mayer Vision Clinic Optometry

  • Optometrist
  • Vacaville, CA
National Provider Identifier
1932220324
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7004 Issued in CA
Legal business name
K J KOPECKO O D CHRISTINE L MAYER O D OPTOMETRY CORP
Doing business as
Drs. Kopecko and Mayer Vision Clinic Optometry
Practice address
2581 Nut Tree Rd
Suite C
Vacaville, CA 95687-6915
Phone
(707) 447-1332
NPI assigned
Apr 3, 2007
Last updated
Jan 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Christine Louise MayerNPI 1689645723
Title
Cfo
Phone
(707) 447-1332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7004 CA Primary

Addresses

Primary practice location

2581 Nut Tree Rd
Suite C
Vacaville, CA 95687-6915

Mailing address

2581 Nut Tree Rd
Suite C
Vacaville, CA 95687-6915
Phone (707) 447-1332

Other identifiers 1

IdentifierTypeStateIssuer
GR0022001MedicaidCA

Other names 1

  • Drs. Kopecko and Mayer Vision Clinic Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

2581 Nut Tree Rd
Ste C
Vacaville, CA 95687
Phone (707) 447-1332

2623 Springs Rd
Vallejo, CA 94591
Phone (707) 643-8202

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1932220324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 NUT TREE RD",
            "address_2": "SUITE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876915",
            "telephone_number": "707-447-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 NUT TREE RD",
            "address_2": "SUITE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876915",
            "telephone_number": "707-447-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K J KOPECKO O D CHRISTINE L MAYER O D OPTOMETRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "707-447-1332"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0022001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Kopecko and Mayer Vision Clinic Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.