Dr. Paul E. Koch, Optometrist, P.C

LBN: Dr. Paul E. Koch, Optometrist, P.C
Dr. Paul E. Koch, Optometrist, P.C is an health care organization with primary practice located at 476999 Highway 95 C/O Walmart Vision Center, Ponderay ID 83852-9738. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr. Paul E. Koch, Optometrist, P.C can be contacted via phone (208) 255-5513, or through Koch, Paul Erwin via phone (208) 290-2401.

Contact Information

Primary practice address
476999 Highway 95 C/O Walmart Vision Center Ponderay ID 83852-9738
Phone: (208) 255-5513
Fax: (208) 255-5823
Website:
Map and Directions
Authorized official contact:
Name: Koch, Paul Erwin Doctor of Optometry (OD)
Phone: (208) 290-2401

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP1026 Idaho

Profile Details

NPI number 1255574711
LBN Legal business name Dr. Paul E. Koch, Optometrist, P.C
DBA Doing business as
Authorized official Koch, Paul Erwin Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2009
Last updated Feb 26th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255574711 NPPES
Idaho MEDICAID 806343800

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