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NPI Code Detail

MEDICARE: DR. RONALD H COPE OD

MEDICARE: DR. RONALD H COPE OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist046 007909IL
2152W00000XOptometristOPT-002070AZ

General Provider Information

NPI Number : 1265506224
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD H COPE OD
Provider Business Mailing Address
First Line : 955 W SOUTHERN AVE STE 101
Second Line :
City : MESA
State : AZ
Zip : 85210-4903
Country : US
Telephone Number : 480-961-1865
Fax Number : 480-893-8172
Provider Business Practice Location Address
First Line : 20928 N JOHN WAYNE PKWY STE C6
Second Line :
City : MARICOPA
State : AZ
Zip : 85139-2924
Country : US
Telephone Number : 520-316-4388
Fax Number : 520-316-4393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 10/26/2022

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Directions to “ DR. RONALD H COPE OD” Practice Location

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