Justin L. Kohls, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1304 Issued in AZ

Practice address

2525 W Carefree Hwy Unit 116
Phoenix, AZ 85085-6095

Phone

(623) 582-3937

Fax

(623) 249-4307

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Valley Eye Care PCGroup PAC ID 2365544285, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Valley Eye Care PC

  • Optometrist
  • Phoenix, AZ
  • NPI 1467538884
  Medicare reassignment Care Compare group NPD
• Az Home Eye Care Inc

  • Optometrist
  • Glendale, AZ
  • NPI 1720201452
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1023128949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W CAREFREE HWY UNIT 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856095",
            "telephone_number": "623-582-3937",
            "fax_number": "623-249-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W CAREFREE HWY UNIT 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856095",
            "telephone_number": "623-582-3937",
            "fax_number": "623-249-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLS",
        "first_name": "JUSTIN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Mary Kohl, R.D.
• Joshua Kohl, PA-C
• Gregory Michael Kohler, AGACNP-BC
• Jeffery Arthur Kohler, D.D.S.
• Alicia Kohls, MSN, NPC
• Michelle A. Kohls, O.D.
• Joel Kohn
• Kellye Kohn, LPC
• Lindsey Jo Kohnert, MED, OTD, OTR/L
• Joan Marie Kohr, MD

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.