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Contact Information

LAWRENCE H COPPOCK, OD
48 N BROADWAY
PENNSVILLE TOWNSHIP, NJ08070-1754
 Phone: 856-678-4800
 Fax: 856-678-3630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LAWRENCE H COPPOCK · (Male)

NPI # 1437140944
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/03/2005
Last updated 09/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 27OA00420900
  • NJ Other 482523 AETNA
  • NJ Other 2244616000 AMERIHEALTH
  • NJ Other 223485583 BLUE CROSS
  • NJ Other 65065 OPERATING ENGINEERS 825
  • NJ Other 180031090 PALMETTO GBA
  • NJ Other 223485583 TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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