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Dr. John Casey Coppedge, O.D.

Optometrist in Brooksville, FL. Individual provider (NPI-1).

NPI number1710179932
StatusActive
Last updated in NPPESSep 14, 2010

Details

NPI
1710179932
Entity type
Individual (NPI-1)
Name
Dr. John Casey Coppedge
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 11, 2007
Last updated
Sep 14, 2010

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - OPTOMETRY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPC4216FLYes

Practice location

86 Ponce De Leon Blvd
Brooksville, FL 34601-2818

Phone 352-796-2141

Mailing address

86 Ponce De Leon Blvd
Brooksville, FL 34601-2818

Phone 352-796-2141

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Brooksville, FL

All 18 Optometrist providers in Brooksville · All 1,695 providers in Brooksville

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