| Nicholas Leo Koshuta, OD | |
|
2820 N Glassford Hill Rd, Ste 101, Prescott Valley, AZ 86314-2256 | |
| (928) 775-5606 | |
| (928) 772-4999 |
| Full Name | Nicholas Leo Koshuta |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 25 Years |
| Location | 2820 N Glassford Hill Rd, Prescott Valley, Arizona |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992701494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1264 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Flagstaff Eye Care Pllc | 1850315623 | 2 |
| Provider Name | Flagstaff Eye Care Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780711317 PECOS PAC ID: 1850315623 Enrollment ID: O20060119000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Leo Koshuta, OD 2820 N Glassford Hill Rd, Ste 101, Prescott Valley, AZ 86314-2256 Ph: (928) 775-5606 | Nicholas Leo Koshuta, OD 2820 N Glassford Hill Rd, Ste 101, Prescott Valley, AZ 86314-2256 Ph: (928) 775-5606 |
Mrs. Joanne C Hopman, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314 Phone: 928-775-5606 Fax: 928-772-4999 | |
Prescott Valley Eye Care Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3153 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-771-9939 Fax: 928-772-3972 | |
Dr. William Robert Tanner, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3450 N Glassford Hill Rd, Prescott Valley, AZ 86314 Phone: 928-499-3152 Fax: 928-775-6292 | |
Dr. Bradley Dallas Freestone, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3223 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 480-892-8400 | |
Nationwide Optometry P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 3264 N Glassford Hill Rd Ste E, Prescott Valley, AZ 86314 Phone: 928-717-5318 Fax: 928-717-5323 | |
Yavapai Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7763 E Florentine Rd, Prescott Valley, AZ 86314 Phone: 801-645-4572 Fax: 928-772-1279 | |
Dr. Luis Armando Vazquez Perez, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5684 E State Route 69 Ste 125, Prescott Valley, AZ 86314 Phone: 928-499-6585 |