NPI 1083608608

Jeffrey A. Coppes, OD

Practitioner Optometrist Mishawaka, IN

Practice location

Address: 6502 Grape Road Suite 898, Mishawaka, IN 46545
Phone: (574) 277-7723
Fax: (574) 277-9698

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18002135A (IN)

Other Optometrist providers in Indiana →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18002135B (IN)

Registry record

NPI: 1083608608
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2005
Record last updated: 31 Jan 2013

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.