Individual
DR. BRENT JAMES SCHOPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Mailing address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1595
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007384654
AETNA
IL
01
—
363825038
VISION SERVICE PLAN
IL
05
—
925255
—
AZ
01
—
998900003
MEDICARE
IL
01
—
IL7813002
MEDICARE
IL
01
—
IL9547
EYEMED VISION CARE
IL
01
—
K12740
MEDICARE
IL
01
—
Z172088
MEDICARE
AZ
01
—
Z172089
MEDICARE
AZ
01
—
Z172090
MEDICARE
AZ
01
—
Z172091
MEDICARE
AZ
01
—
Z172092
MEDICARE
AZ
01
—
Z172093
MEDICARE
AZ
Enumeration date
12/28/2006
Last updated
01/27/2020
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