Steven B Koning (NPI# 1851626931, PAC ID# 0749438992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1851626931 |
| PAC ID by PECOS | 0749438992 |
| Professional Enrollment ID | I20180809000526 |
| Full Name | Steven B Koning |
| Organization Legal Name | MAIN STREET VISION CARE, CO |
| Address |
412 Main St Longmont CO 80501-5535 |
| Phone Number | 3036516700 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2011 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0840554895 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 412 Main St, Longmont, CO 80501-5535 | 3036516700 | MAIN STREET VISION CARE, CO |
| Organization Legal Name | MAIN STREET VISION CARE, CO |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger Trudell | Optometry | Main Street Vision Care, Co | 412 Main St, Longmont, CO 80501-5535 |
| Street Address |
412 MAIN ST |
| City | LONGMONT |
| State | CO |
| Zip | 80501-5535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeannie D Chow | Optometry | 412 Main St, Gaithersburg, MD 20878-5537 | |
| Roger Trudell | Optometry | Main Street Vision Care, Co | 412 Main St, Longmont, CO 80501-5535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tana Levine | Geriatric Medicine | Life Care Physician Services LLC | 2451 Pratt St, Longmont, CO 80501-1123 |
| Lyle M Pfeifer | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Sean J Sands | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Alyssa L Gonzalez | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| William Oligmueller | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Robert V Nouhan | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Claudia M Martin-williams | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Catherine E Cavender | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Daniel R Zenk | Internal Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Brittany A Hunter | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Find all physicians in zip 80501 | |||
| City | LONGMONT |
| Zip Code | 80501 |
| Specialty | OPTOMETRY |
| City + Specialty | LONGMONT + OPTOMETRY |
Please comment or provide details below to improve the information on Steven B Koning.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.