Constance S Copeland, OD, PHD Valid NPI
Individual provider · Optometrist · Rockford, IL
- NPI
- 1508857202
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 046011082 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-11-02
- Last updated
- 2024-03-07
Practice location
8038 Macintosh Ln
Rockford, IL 61107-5336
(815) 332-6800