Kopecko, Kathleen Joan
Kopecko, Kathleen Joan is an individual health care provider with primary practice located at 2581 Nut Tree Rd Suite C, Vacaville CA 95687-6915. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kopecko, Kathleen Joan can be contacted via phone (707) 447-1332.Contact Information
Primary practice address
2581 Nut Tree Rd Suite C
Vacaville CA 95687-6915
Phone: (707) 447-1332
Fax: (707) 447-4894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7655 | California |
Profile Details
| NPI number | 1194796235 |
|---|---|
| LBN Legal business name | Kopecko, Kathleen Joan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Mar 18th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194796235 | NPPES |
| California | MEDICAID | SD0076550 |
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