Individual provider Active NPI

Judith Guest Copeland, O.D.

  • Optometrist
  • Rye Brook, NY
National Provider Identifier
1942282124
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT003706 Issued in NY
Practice address
204 S Ridge St
Rye Brook, NY 10573-3434
Phone
(914) 939-0830
Fax
(914) 939-7029
NPI assigned
Nov 15, 2005
Last updated
Jan 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT003706 NY Primary

Addresses

Primary practice location

204 S Ridge St
Rye Brook, NY 10573-3434

Mailing address

204 S Ridge St
Rye Brook, NY 10573-3434
Phone (914) 939-0830

Other names 1

  • Dr. Judith Ellen Guest Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VUT003706NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1942282124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S RIDGE ST",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105733434",
            "telephone_number": "914-939-0830",
            "fax_number": "914-939-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S RIDGE ST",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105733434",
            "telephone_number": "914-939-0830",
            "fax_number": "914-939-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEST COPELAND",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT003706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "GUEST",
            "middle_name": "ELLEN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.