DR. PAUL ERWIN KOCH (NPI# 1124060041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124060041 |
| Entity Type | Individual |
| Full Name | DR. PAUL ERWIN KOCH |
| Credential | O.D. |
| Practice Address |
476999 Highway 95 Ponderay ID 83852-9738 |
| Mailing Address |
1455 Janish Dr Sandpoint ID 83864-6244 |
| Practice Telephone | 2082555513 |
| Practice Fax Number | 2082555823 |
| Mailing Telephone | 2082554801 |
| Mailing Fax Number | 2082555823 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2009-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP-1026 | ID | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806343800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336177286 | Paul Erik Koch | Chiropractor | 259 Fish Pond Rd, Ste. 8, Sewell, NJ 08080-3046 | 2006-06-29 |
| 1699094375 | Paul Frederick Koch | Neurological Surgery | 417 N 11th St, Richmond, VA 23298 | 2010-05-20 |
| 1649346073 | Paul David Koch | Internal Medicine | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2006-11-28 |
| 1306953849 | Paul E Koch | Family Medicine | 1121 E North Ave, Columbia-st Marys Family Medicine Clinic, Milwaukee, WI 53212-3515 | 2006-08-23 |
| 1538125414 | Paul S Koch | Ophthalmology | 566 Toll Gate Rd, Warwick, RI 02886-2716 | 2006-04-21 |
| 1487623286 | Paul W. Koch | Emergency Medicine | 159 Kercheval Ave., Grosse Pointe, MI 48236 | 2006-03-15 |
| Street Address |
476999 HIGHWAY 95 |
| City | PONDERAY |
| State | ID |
| Zip Code | 83852-9738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790194835 | Daniel Schauwecker | Pharmacist | 476999 Highway 95, Ponderay, ID 83852-9738 | 2014-08-02 |
| 1720495807 | Kayla Dotson | Pharmacist | 476999 Highway 95, Ponderay, ID 83852-9738 | 2014-07-21 |
| 1922415025 | Amy Mcgrath | Pharmacist | 476999 Highway 95, Ponderay, ID 83852-9738 | 2014-07-21 |
| 1255574711 | Dr. Paul E. Koch, Optometrist, P.c | Optometrist | 476999 Highway 95, C/o Walmart Vision Center, Ponderay, ID 83852-9738 | 2009-04-14 |
| 1114017357 | Wal-mart Stores, Inc | Technician/Technologist | 476999 Highway 95, Ponderay, ID 83852-9738 | 2006-10-16 |
| 1356368609 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 476999 Highway 95, Ponderay, ID 83852-9738 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346606647 | Vern Stairs | Pharmacist | 476999 Us-95, Walmart Supercenter, Ponderay, ID 83852 | 2016-01-04 |
| 1083809727 | Michael R Dibenedetto Md Pllc | Orthopaedic Surgery | 30544 Hwy 200, Ste 102, Ponderay, ID 83852 | 2007-09-06 |
| 1811009988 | David Paul Cox | Dentist | 477542 Hwy 95 N, Ponderay, ID 83852 | 2006-08-31 |
| 1861774291 | Michael David Schicker | Orthopaedic Surgery | 30544 Highway 200 Ste 102, Ponderay, ID 83852 | 2011-09-12 |
| 1750410825 | Glacier Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 205 Vermeer Dr, Suite C, Ponderay, ID 83852-1660 | 2007-03-05 |
| 1083949531 | Mario E Roxas | Naturopath | 476864 Highway 95, Suite #3, Ponderay, ID 83852-5000 | 2009-10-15 |
| 1942716246 | Darwin L Hurst | Family Medicine | 30544 Highway 200 Ste 101, Ponderay, ID 83852-5005 | 2017-12-21 |
| 1902036734 | Innovative Anesthesia | Nurse Anesthetist, Certified Registered | 30544 Highway 200 Ste 201, Pend Oreille Surgery Center, Ponderay, ID 83852-5005 | 2009-07-14 |
| 1255597811 | Travis Lee Taylor | Nurse Practitioner | 30544 Highway 200 Ste 102, Ponderay, ID 83852-5005 | 2008-08-04 |
| 1982741195 | Ryan Leisy | Chiropractor | 30544 Highway 200 Ste 330, Ponderay, ID 83852-5005 | 2007-01-30 |
| Find all providers in zip 83852 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255574711 | Dr. Paul E. Koch, Optometrist, P.c | Optometrist | 476999 Highway 95, C/o Walmart Vision Center, Ponderay, ID 83852-9738 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536362 | Daniel & Max, LLC | Optometrist | 1405 N Milwaukee St, Boise, ID 83704-8400 | 2020-10-20 |
| 1326669920 | Clear Eyes Optometric Care, Pllc | Optometrist | 7950 Horseshoe Bend Rd Ste 101, Boise, ID 83714-3809 | 2020-05-05 |
| 1538792551 | Eyes On Meridian LLC | Optometrist | 119 E Calderwood Dr, Meridian, ID 83642-7482 | 2020-02-18 |
| 1962067538 | Eyecare Associates of Kuna | Optometrist | 943 N Linder Rd Ste 102, Kuna, ID 83634-3395 | 2019-05-08 |
| 1700440948 | Mobilitycares LLC | Optometrist | 14340 Salmon River Rd, Caldwell, ID 83607-7813 | 2019-04-23 |
| 1255898292 | Kreed Bowman Od Pllc | Optometrist | 250 S Skyline Dr Ste 6, Idaho Falls, ID 83402-3292 | 2019-02-26 |
| 1972089514 | John Wesley Porter | Optometrist | 3363 Merlin Dr, Idaho Falls, ID 83404-7405 | 2018-07-17 |
| 1467945873 | Blake Bingham | Optometrist | 1700 W Karcher Rd, Nampa, ID 83651-1531 | 2018-06-11 |
| 1396238689 | Daniel Leo Adams | Optometrist | 8220 N Cornerstone Dr Ste A, Hayden, ID 83835-8683 | 2018-06-11 |
| 1598258055 | Daniel Christopher Kunz | Optometrist | 4191 Poleline Rd Ste C, Pocatello, ID 83202-2402 | 2018-06-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.