Provider Demographics
NPI:1427673680
Name:CAPE, COURTNEY LYNN (OD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:LYNN
Last Name:CAPE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 102376
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91189-0117
Mailing Address - Country:US
Mailing Address - Phone:949-688-6205
Mailing Address - Fax:949-688-6205
Practice Address - Street 1:3075 HEALTH CENTER DR STE 403
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2773
Practice Address - Country:US
Practice Address - Phone:858-278-9900
Practice Address - Fax:858-278-9984
Is Sole Proprietor?:No
Enumeration Date:2020-06-13
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA34370152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist