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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7004
- 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, 2013
- 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
- Christine Louise Mayer
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0022001 | Medicaid | CA |
Other names 1
- Drs. Kopecko and Mayer Vision Clinic Optometry
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Vacaville, CA
- NPI 1689645723
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.