Individual
JAMES L COOPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
18449 BROOKHURST ST, STE 6, FOUNTAIN VALLEY, CA 92708-6751
(714) 963-2111
(714) 963-4642
Mailing address
18449 BROOKHURST ST, STE 6, FOUNTAIN VALLEY, CA 92708-6751
(714) 963-2111
(714) 963-4642
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7875T
CA
152WC0802X
Corneal and Contact Management Optometrist
OP7875T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SDOO78750
BLUE SHIELD OF CA
—
Enumeration date
04/17/2006
Last updated
10/17/2011
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