DR. JOHN HILL COPPEDGE JR. (NPI# 1164449690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164449690 |
| Entity Type | Individual |
| Full Name | DR. JOHN HILL COPPEDGE JR. |
| Credential | OD |
| Practice Address |
86 Ponce De Leon Blvd Brooksville FL 34601 |
| Practice Telephone | 3527962141 |
| Practice Fax Number | 3527962325 |
| Mailing Telephone | 3527962141 |
| Mailing Fax Number | 3527962325 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC000914 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 035728600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710179932 | John Casey Coppedge | Optometrist | 86 Ponce De Leon Blvd, Brooksville, FL 34601-2818 | 2007-08-11 |
| Street Address |
86 PONCE DE LEON BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124251905 | James Revennaugh | Optometrist | 86 Ponce De Leon Blvd, Brooksville, FL 34601-2818 | 2009-08-27 |
| 1568690238 | Coppedge Eyecare, LLC | Optometrist | 86 Ponce De Leon Blvd, Brooksville, FL 34601-2818 | 2009-07-01 |
| 1497923122 | Coppedge and Wooster Pa | Eyewear Supplier (Equipment, not the service) | 86 Ponce De Leon Blvd, Brooksville, FL 34601-2818 | 2008-02-15 |
| 1710179932 | John Casey Coppedge | Optometrist | 86 Ponce De Leon Blvd, Brooksville, FL 34601-2818 | 2007-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526643 | Benzer Fl 39 LLC | Pharmacy | 80 Ponca De Leon Blvd, Brooksville, FL 34601 | 2020-04-03 |
| 1245868702 | Karon Elaine Stagg | Specialist/Technologist | 20158 Cortez Blvb, Brookesville, FL 34601 | 2020-03-31 |
| 1699253666 | Shedding Light Counseling 'llc' | Counselor | 24059 Cortez Blvd, Brooksville, FL 34601 | 2018-08-01 |
| 1265952162 | Tysheeca Deandrea Washington | Assistant Behavior Analyst | 1535 Greenbriar Villa Circle, Brooksville, FL 34601 | 2017-06-21 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1689018301 | Nic 4 The Grande Leasing LLC | Assisted Living Facility | 725 Desoto Avenue, Brooksville, FL 34601 | 2013-04-24 |
| 1023301496 | Gerald Warren Springstead | Dentist | 605 W. Jefferson St., Brooksville, FL 34601 | 2011-05-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| Find all providers in zip 34601 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942650924 | Caleb Saint Jean | Optometrist | 13217 Cortez Blvd, Brooksville, FL 34613-6807 | 2016-06-21 |
| 1487860169 | Vision Specialty Associates, P.a. | Optometrist | 13161 Cortez Blvd, Brooksville, FL 34613-7804 | 2007-05-16 |
| 1841418555 | Brian Merlino | Optometrist | 13128 Cortez Blvd, Brooksville, FL 34613-4858 | 2007-04-20 |
| 1831114198 | Jay B Klein | Optometrist | 924 Candlelight Blvd, Brooksville, FL 34601-3116 | 2006-07-13 |
| 1730789256 | Fanny Maritza Muniz | Optometrist | 13217 Cortez Blvd, Brooksville, FL 34613-6807 | 2020-10-26 |
| 1902468838 | Merlino Eye Associates Pa | Optometrist | 13128 Cortez Blvd, Brooksville, FL 34613-4858 | 2019-07-01 |
| 1598267882 | Eye In Sight, LLC | Optometrist | 13217 Cortez Blvd, Brooksville, FL 34613-6807 | 2018-03-02 |
| 1609111574 | Keats Family Vision, P.a. | Optometrist | 12991 Cortez Blvd, Brooksville, FL 34613-4884 | 2012-12-04 |
| 1174855779 | Kathleen D. Wooster, O.d., P.a. | Optometrist | 924 Candlelight Blvd, Brooksville, FL 34601-3116 | 2010-02-05 |
| 1124251905 | James Revennaugh | Optometrist | 86 Ponce De Leon Blvd, Brooksville, FL 34601-2818 | 2009-08-27 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.