Copenhaver, Penelope Marie

Copenhaver, Penelope Marie is an individual health care provider with primary practice located at 610 State Farm Rd Ste A Suite A, Boone NC 28607-4738. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Copenhaver, Penelope Marie can be contacted via phone (828) 264-0042.

Contact Information

Primary practice address
610 State Farm Rd Ste A Suite A Boone NC 28607-4738
Phone: (828) 264-0042
Fax: (828) 264-8612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1704 North Carolina

Profile Details

NPI number 1710925540
LBN Legal business name Copenhaver, Penelope Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Nov 25th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710925540 NPPES
North Carolina Other 1710925540 BCBS

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