1942282124 NPI number — DR. JUDITH GUEST COPELAND O.D.

Table of content: DR. JUDITH GUEST COPELAND O.D. (NPI 1942282124)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942282124 NPI number — DR. JUDITH GUEST COPELAND O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUEST COPELAND
Provider First Name:
JUDITH
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GUEST
Provider Other First Name:
JUDITH
Provider Other Middle Name:
ELLEN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
O.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1942282124
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
204 S RIDGE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RYE BROOK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10573-3434
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-939-0830
Provider Business Mailing Address Fax Number:
914-939-7029

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
204 S RIDGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RYE BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10573-3434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-939-0830
Provider Business Practice Location Address Fax Number:
914-939-7029
Provider Enumeration Date:
11/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  VUT003706 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com