MR. STEVE J KOPP (NPI# 1841276979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841276979 |
| Entity Type | Individual |
| Full Name | MR. STEVE J KOPP |
| Credential | OD PC |
| Practice Address |
40 Capri Blvd Ste 102 Lake Havasu City AZ 86403-5661 |
| Mailing Address |
2820 N Glassford Hill Rd Prescott Valley AZ 86314-1242 |
| Practice Telephone | 6029551000 |
| Practice Fax Number | 6025084830 |
| Mailing Telephone | 8445656393 |
| Mailing Fax Number | 8443295656 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT-001732 | AZ | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2340AT | OR | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 Capri Blvd Ste 102, Lake Havasu City, AZ 864035661 | 6029551000 | 6025084830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205824935 | Steve G Kopp | Counselor | 4455 E 56th St, Davenport, IA 52807-2995 | 2005-10-06 |
| Street Address |
40 CAPRI BLVD STE 102 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720069982 | Michael James Stagner | Ophthalmology | 40 Capri Blvd Ste 102, Lake Havasu City, AZ 86403-5661 | 2005-11-07 |
| 1699882977 | Lorne P Schlecht | Ophthalmology | 40 Capri Blvd Ste 102, Lake Havasu City, AZ 86403-5661 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| 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 |
|---|---|---|---|---|
| 1922396076 | Stephanie Woo | Optometrist | 383 Lake Havasu Ave S, Lake Havasu City, AZ 86403-9368 | 2011-07-11 |
| 1568775633 | Sper,llc | Optometrist | 5651 Highway 95 N, Lake Havasu City, AZ 86404-9646 | 2010-07-19 |
| 1972779817 | Ricki-lee Halling | Optometrist | 2730 Via Palma, Lake Havasu City, AZ 86406-7730 | 2008-04-30 |
| 1457569121 | Lake Havasu Family Eyecare, LLC | Optometrist | 2277 Swanson Ave Ste 100, Lake Havasu City, AZ 86403-5991 | 2007-05-18 |
| 1447328497 | Stuart Adams O.d. PC | Optometrist | 383 S.lake Havasu Ave, Lake Havasu City, AZ 86403-9368 | 2006-11-30 |
| 1982779898 | Brooke Louise Vetter | Optometrist | 1990 Mcculloch Blvd N Ste 101, Lake Havasu Family Eyecare, Lake Havasu City, AZ 86403-5749 | 2006-11-24 |
| 1073536751 | James Ruch | Optometrist | 5651 Highway 95 N Inside Jcpenney, Lake Havasu City, AZ 86404-9646 | 2006-07-25 |
| 1598712440 | Rhett Melvin Burgener | Optometrist | 1923 Mcculloch Blvd #102, Lake Havasu City, AZ 86403-6722 | 2006-05-27 |
| 1760458384 | Tania Nicole Sobchuk | Optometrist | 1990 Mcculloch Blvd N, # 101, Lake Havasu City, AZ 86403-5749 | 2006-02-23 |
| 1548817786 | Christina Ann Martinez | Optometrist | 2277 Swanson Ave Ste 100, Lake Havasu City, AZ 86403-5991 | 2019-08-22 |
| Find all providers in LAKE HAVASU CITY | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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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.