IndividualActive
Sophia Capo, OD
NPI 1366119141 · Pediatric Optometrist · Big Rapids, MI
Provider details
- NPI number
- 1366119141
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 4901005569 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
1124 S State St
Big Rapids, MI 49307-2256
Phone: (231) 591-3700
Approximate (ZIP-level) locationGet directions
Mailing address
311 Morrison St Apt 8
Big Rapids, MI 49307-2223
Additional practice locations (1)
- 100 Cherry St SeGrand Rapids, MI 49503-4526Phone: (616) 965-8200
Registry dates
- Enumerated
- 2021-08-27
- Last updated
- 2021-08-27
- Certified
- 2021-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.