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Organization
ROBERT KOPPANY
Active
Organization
ROBERT KOPPANY
Active
Other names
Advanced Optometric Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KOPPANY O.D. (OPTOMETRIST, OWNER)
(760) 243-4559
Entity
Organization
Contact information
Practice address
15908 BEAR VALLEY RD # A, VICTORVILLE, CA 92395-9547
(760) 243-4559
(760) 243-2052
Mailing address
15908 BEAR VALLEY RD # A, VICTORVILLE, CA 92395-9547
(760) 243-4559
(760) 243-2052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8523TG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0085230
—
CA
Enumeration date
12/17/2008
Last updated
12/17/2008
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