Provider Demographics
NPI:1205718244
Name:COPEL, VICTORIA ROSE (OD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ROSE
Last Name:COPEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:ROSE
Other - Last Name:GEORGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 AVERY NELSON PKWY UNIT 17
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-0012
Mailing Address - Country:US
Mailing Address - Phone:954-594-0510
Mailing Address - Fax:
Practice Address - Street 1:1701 RED BUD LN
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3802
Practice Address - Country:US
Practice Address - Phone:512-341-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11512152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist