DR. THOMAS FREDERICK KOEHLER (NPI# 1467778928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467778928 |
| Entity Type | Individual |
| Full Name | DR. THOMAS FREDERICK KOEHLER |
| Credential | O.D. |
| Practice Address |
24307 Harper Ave Saint Clair Shores MI 48080-1271 |
| Practice Telephone | 5867756733 |
| Mailing Telephone | 5867756733 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2014-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003134 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2308741 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215047824 | Thomas D Koehler | Chiropractor | 232 Main St Nw, Suite 201, Bourbonnais, IL 60914-1938 | 2006-08-30 |
| 1275931685 | Thomas Koehler | Physician Assistant | 2165 Little Rd, Trinity, FL 34655-4410 | 2014-12-17 |
| 1720405145 | Thomas Koehler | Physician Assistant | 1715 E 12th St, The Dalles, OR 97058-3136 | 2014-03-24 |
| 1952445660 | Thomas J Koehler | General Practice | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2007-02-16 |
| 1972680353 | Thomas C Koehler | Family Medicine | 26 W West Newell Rd, Danville, IL 61834-7488 | 2006-11-01 |
| 1861504029 | Thomas P Koehler | Internal Medicine | 401 W Poplar St, Hospitalists, Walla Walla, WA 99362-2846 | 2006-08-31 |
| 1982687307 | Thomas Frederick Koehler | Radiology | 1460 Ne Medical Center Dr, Bend, OR 97701-6061 | 2005-11-21 |
| Street Address |
24307 HARPER AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124189089 | Normandy Optical Company, Inc | Optometrist | 24307 Harper Ave, Saint Clair Shores, MI 48080 | 2006-12-13 |
| 1730704172 | Bret Richard Williams | Optometrist | 24307 Harper Ave, Saint Clair Shores, MI 48080-1271 | 2020-06-11 |
| 1699128801 | Anthony Sesto | Optometrist | 24307 Harper Ave, Saint Clair Shores, MI 48080-1271 | 2016-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| 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 |
|---|---|---|---|---|
| 1669535076 | Shore Optical | Optometrist | 31503 Harper Ave, Saint Clair Shores, MI 48082-2455 | 2006-12-18 |
| 1124189089 | Normandy Optical Company, Inc | Optometrist | 24307 Harper Ave, Saint Clair Shores, MI 48080 | 2006-12-13 |
| 1366503229 | Clear Optical | Optometrist | 21731 Greater Mack Ave, Saint Clair Shores, MI 48080-2418 | 2006-12-13 |
| 1205947744 | Dolan Optical Company | Optometrist | 21527 Harper Ave, Saint Clair Shores, MI 48080-2209 | 2006-08-31 |
| 1730704172 | Bret Richard Williams | Optometrist | 24307 Harper Ave, Saint Clair Shores, MI 48080-1271 | 2020-06-11 |
| 1619469905 | Bryan Lazzarin | Optometrist | 30120 Harper Ave, Saint Clair Shores, MI 48082 | 2018-06-01 |
| 1699128801 | Anthony Sesto | Optometrist | 24307 Harper Ave, Saint Clair Shores, MI 48080-1271 | 2016-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921815 | Daniel & Max, LLC | Optometrist | 5020 Bay Rd, Saginaw, MI 48604-2522 | 2020-10-30 |
| 1689274516 | Soave Eye Care | Optometrist | 522 S Garfield Ave Ste A, Traverse City, MI 49686-3485 | 2020-10-29 |
| 1821697152 | Chelsea Vernaci | Optometrist | 42550 Garfield Rd Ste 101, Clinton Twp, MI 48038-1644 | 2020-10-19 |
| 1225636095 | Crystal Angela Ruemenapp | Optometrist | 1691 E Us 23 Ste 2, East Tawas, MI 48730-9337 | 2020-10-14 |
| 1053926089 | Estefany Colon Lopez | Optometrist | 3497 S Linden Rd Spc 780, Flint, MI 48507-3018 | 2020-09-15 |
| 1770195794 | Caitlin Elise-nosanov Winsor | Optometrist | 1761 W M 43 Hwy Ste 1, Hastings, MI 49058-8567 | 2020-08-20 |
| 1194336446 | Bennett Optometry LLC | Optometrist | 555 E Michigan Ave, Saline, MI 48176-1588 | 2020-08-11 |
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1467078915 | Jaclyn Tolles | Optometrist | 63 1st St, Milan, MI 48160-1001 | 2020-06-21 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
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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.