Dr. Paul E. Koch, Optometrist, P.c is a
Optometrist based in Ponderay, Idaho. Dr. Paul E. Koch, Optometrist, P.c is licensed to practice in Idaho (license number ODP1026) and their current practice location is
476999 Highway 95, C/o Walmart Vision Center, Ponderay, Idaho. It can be reached at their office (for appointments etc.) via phone at
(208) 255-5513.
NPI number for Dr. Paul E. Koch, Optometrist, P.c is 1255574711 and their current mailing address is 476999 Highway 95, Ponderay, Idaho. Dr. Paul E. Koch, Optometrist, P.c
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1255574711.
Healthcare Provider's Profile
| Full Name | Dr. Paul E. Koch, Optometrist, P.c |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
|---|
| Location | 476999 Highway 95, Ponderay, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255574711
- Provider Enumeration Date: 04/14/2009
- Last Update Date: 02/26/2014
Medical Identifiers
Medical identifiers for Dr. Paul E. Koch, Optometrist, P.c such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255574711 | NPI | - | NPPES |
| 806343800 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODP1026 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr. Paul E. Koch, Optometrist, P.c is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr. Paul E. Koch, Optometrist, P.c
476999 Highway 95,
Ponderay, ID 83852-9738
Ph: (208) 255-5513 | Dr. Paul E. Koch, Optometrist, P.c
476999 Highway 95, C/o Walmart Vision Center,
Ponderay, ID 83852-9738
Ph: (208) 255-5513 |
Reviews and Comments