Individual
DR. JEFFREY A. COPPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6502 GRAPE ROAD, SUITE 898, MISHAWAKA, IN 46545
(574) 277-7723
(574) 277-9698
Mailing address
6502 GRAPE ROAD, SUITE 898, MISHAWAKA, IN 46545
(574) 277-7723
(574) 277-9698
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002135A
IN
152W00000X
Optometrist
18002135B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000273033
BLUE CROSS ELKHART
IN
01
—
01172
SPECTERA ELKHART
IN
05
—
100414710
—
IN
01
—
2550910002
DMERC ELKHART
IN
01
—
351368448
VISION SERVICE PLAN
IN
01
—
IN2135
EYE MED ELKHART
IN
01
—
IN72135
VISIONBENEFITSAMERICA ELK
IN
Enumeration date
09/09/2005
Last updated
01/31/2013
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