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NPI 1104197631ActiveOrganization· Optometrist· Clermont, FL

Optometrist in Clermont, Florida, registered in NPPES in January 2012. The authorized official on file is Robert C. Coppola, OD, President.

Overview

NPI1104197631
StatusActive
Entity typeOrganization
NPI issuedJan 13, 2012
Last updated in NPPESJan 23, 2025
Certified by providerJan 23, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Optometrist providers in Clermont

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