Individual
DR. PENELOPE MARIE COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
610 STATE FARM RD STE A, SUITE A, BOONE, NC 28607-4738
(828) 264-0042
(828) 264-8612
Mailing address
610 STATE FARM RD, SUITE A WESTERN CAROLINA EYE ASSOCIATES, PA, BOONE, NC 28607-4738
(828) 264-0042
(828) 264-8612
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1704
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710925540
BCBS
NC
Enumeration date
06/03/2006
Last updated
11/25/2014
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