Dr Paul Erwin Koch, OD is a
Optometrist based in Ponderay, Idaho. Dr Paul Erwin Koch is licensed to practice in Idaho (license number ODP-1026) and his current practice location is
476999 Highway 95, Ponderay, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 255-5513.
NPI number for Dr Paul Erwin Koch is 1124060041 and his current mailing address is 1455 Janish Dr, Sandpoint, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124060041.
Healthcare Provider's Profile
| Full Name | Dr Paul Erwin Koch |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 476999 Highway 95, Ponderay, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124060041
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 04/14/2009
Medical Identifiers
Medical identifiers for Dr Paul Erwin Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124060041 | NPI | - | NPPES |
| 806343800 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODP-1026 (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 Erwin Koch 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 Erwin Koch, OD
1455 Janish Dr,
Sandpoint, ID 83864-6244
Ph: (208) 255-4801 | Dr Paul Erwin Koch, OD
476999 Highway 95,
Ponderay, ID 83852-9738
Ph: (208) 255-5513 |
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