NPI 1801053012

Steven J Kopp OD PC

Organisation Preferred Provider Organization Bend, OR

Practice location

Address: 63455 N Highway 97 Suite 75, Bend, OR 97701-6764
Phone: (541) 389-3329
Fax: (541) 318-3390

Authorised official

Name: Tina L Kopp
Title: Office Manager
Phone: (541) 389-3329

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2340ATL (OR)

Other Preferred Provider Organization providers in Oregon →

Registry record

NPI: 1801053012
Entity type: Organization
NPI issued: 16 May 2008
Record last updated: 16 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.