John Casey Coppedge (NPI# 1710179932, PAC ID# 1355430075) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1710179932 |
PAC ID by PECOS | 1355430075 |
Professional Enrollment ID | I20071204000284 |
Full Name | John Casey Coppedge |
Organization Legal Name | COPPEDGE EYECARE, LLC |
Address |
86 Ponce De Leon Blvd Brooksville FL 34601-2818 |
Phone Number | 3527962141 |
Gender | M |
Graduation Year | 2007 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 9032251160 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
86 Ponce De Leon Blvd, Brooksville, FL 34601-2818 | 3527962141 | COPPEDGE EYECARE, LLC |
Organization Legal Name | COPPEDGE EYECARE, LLC |
Physicians | 1 |
Street Address |
86 PONCE DE LEON BLVD |
City | BROOKSVILLE |
State | FL |
Zip | 34601-2818 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sandra Comi | Clinical Social Worker | 15123 Morgan Ln, Brooksville, FL 34601-1106 | |
Deborah A Duvall | Clinical Social Worker | Cotler Healthcare and Development Inc | 1445 Howell Ave, Brooksville, FL 34601-1502 |
Allison J Stuart | Clinical Social Worker | Cotler Healthcare and Development Inc | 1445 Howell Ave, Brooksville, FL 34601-1502 |
Nicole H Bixler | Family Medicine | Osteopathic Heritage Corporation | 959 W Jefferson St, Brooksville, FL 34601-2427 |
Kera Marie Connolly | General Practice | Osteopathic Heritage Corporation | 959 W Jefferson St, Brooksville, FL 34601-2427 |
Brian J Bixler | Family Medicine | Osteopathic Heritage Corporation | 959 W Jefferson St, Brooksville, FL 34601-2427 |
Sisto Serafini | Internal Medicine | Osteopathic Heritage Corporation | 959 W Jefferson St, Brooksville, FL 34601-2427 |
Jatin N Sheth | Family Medicine | Access Health Care Physicians LLC | 920 W Jefferson St, Brooksville, FL 34601-2428 |
Christopher J Larocca | Chiropractic | 43 W Fort Dade Ave, Brooksville, FL 34601-2503 | |
Bhupatiraju Rama R Raju | Internal Medicine | Access Health Care Physicians LLC | 750 Desoto Ave, Brooksville, FL 34601-2814 |
Find all physicians in zip 34601 |
City | BROOKSVILLE |
Zip Code | 34601 |
Specialty | OPTOMETRY |
City + Specialty | BROOKSVILLE + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.