Individual provider Active NPI

Daniel Kohansby, O.D.

  • Optometrist
  • Phillipsburg, NJ
National Provider Identifier
1043202492
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00547900 Issued in NJ
Practice address
1236 US Highway 22
Phillipsburg, NJ 08865-4107
Phone
(908) 454-9865
Fax
(908) 847-0248
NPI assigned
Aug 20, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00547900 NJ Primary

Addresses

Primary practice location

1236 US Highway 22
Phillipsburg, NJ 08865-4107

Mailing address

1236 US Highway 22
Phillipsburg, NJ 08865-4107

Other identifiers 1

IdentifierTypeStateIssuer
7365403MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20050727000041 NJ Practitioner - Optometry 5698703197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 Quarry Rd
Suite 110
Hamburg, NJ 07419-1341
Phone (973) 827-4120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00547900NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Kohansby, O.D. PC Optometrist CurrentSince Aug 30, 2009 Accepting new patients
Valley Vision Care, P.C. Optometrist Past Accepting new patients

Locations

418 State Rt 23
Franklin, NJ 07416
Phone (973) 827-4120

106 Quarry Rd
Ste 110
Hamburg, NJ 07419
Phone (973) 209-2255

249 State Rt 94
Vernon, NJ 07462
Phone (973) 209-2255

521 Route 515
Vernon, NJ 07462
Phone (973) 764-1883

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1124496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043202492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 US HIGHWAY 22",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088654107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 US HIGHWAY 22",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088654107",
            "telephone_number": "908-454-9865",
            "fax_number": "908-847-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANSBY",
        "first_name": "DANIEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00547900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7365403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.