RICHARD TERRY COPPOLETTI (NPI# 1215982822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215982822 |
| Entity Type | Individual |
| Full Name | RICHARD TERRY COPPOLETTI |
| Credential | MD |
| Practice Address |
4320 Morsay Dr Rockford IL 61107-4877 |
| Practice Telephone | 8153997000 |
| Practice Fax Number | 8153997061 |
| Mailing Telephone | 8153997000 |
| Mailing Fax Number | 8153997061 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2010-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | G22942 | CA | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 036063584 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4320 MORSAY DR |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-4877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922507474 | Dekalb Eye Consultants, LLC | Ophthalmology | 1075 Featherstone Rd Ste 10, Rockford, IL 61107-5906 | 2018-02-09 |
| 1225150709 | University of Wisconsin Medical Foundation | Ophthalmology | 345 Executive Pkwy, Suite M4, Rockford, IL 61107-5340 | 2007-04-04 |
| 1902906803 | Malik Eye Institute, L.L.C. | Ophthalmology | 3865 N. Mulford Rd., Rockford, IL 61114-5603 | 2006-09-22 |
| 1295844934 | Woosuk Steve Yoon | Ophthalmology | 4777 E State St, Rockford, IL 61108-2273 | 2006-08-29 |
| 1770698508 | Nelson P Gurney | Ophthalmology | 4857 Manhattan Dr, Rockford, IL 61108-2265 | 2006-08-20 |
| 1679580807 | Masud Iqubal Malik | Ophthalmology | 3865 North Mulford Road, Rockford, IL 61114 | 2006-08-01 |
| 1750304952 | Mitul Rohit Vakharia | Ophthalmology | New Vision of Illinois Eye Associates, 2929 Mcfarland Road, Rockford, IL 61107 | 2006-07-26 |
| 1871559336 | David I Turok | Ophthalmology | 3865 N Mulford Rd, Rockford, IL 61114-5603 | 2006-04-25 |
| 1134127871 | Richard A Miller | Ophthalmology | 2995 Eastrock Dr, Rockford, IL 61109-1737 | 2005-07-07 |
| 1760489785 | New Vision of Illinois, LLC | Ophthalmology | 2929 Mcfarland Road, Rockford, IL 61107 | 2005-07-05 |
| Find all providers in ROCKFORD | ||||
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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.