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Organization

A. R. COPELY, JR, PA

Active
Other names
Copely Eye Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW RICHARD COPELY JR. O.D. (CEO)
(407) 855-3100
Entity
Organization

Contact information

Practice address
1455 HOLDEN AVE, ORLANDO, FL 32839-1702
(407) 855-3100
(407) 855-5281
Mailing address
1455 HOLDEN AVE, ORLANDO, FL 32839-1702
(407) 855-3100
(407) 855-5281

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
OPC913
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078252100
FL
01
19238
BLUE CROSS & BLUE SHIELD
FL
01
410003018
RAILROAD MEDICARE
FL
01
4754932
CIGNA
FL
01
929807
AETNA
FL
Enumeration date
07/23/2007
Last updated
06/17/2008
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