Korbin James Koch, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3495ATI Issued in OR

Practice address

3600 Washburn Way
Walmart Vision Center
Klamath Falls, OR 97603-4539

Phone

(541) 885-5405

Fax

(541) 883-1158

NPI assigned

Oct 14, 2010

Last updated

Jun 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OR

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

Pacific University - College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1063722866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7428",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976020428",
            "telephone_number": "541-885-5405",
            "fax_number": "541-883-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 WASHBURN WAY",
            "address_2": "WALMART VISION CENTER",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034539",
            "telephone_number": "541-885-5405",
            "fax_number": "541-883-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "KORBIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3495ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Knight
• Carolyne Knolle, CDCII
• Joanna Lynn Knower
• Karl R Knudsen, MD
• Anthony Koch, HHP
• Thomas C Koch, M.D.
• Julie Lillian Koehnlein
• Ashley Renee Kohler, CMA
• Thad Matthew Kohler, RPH
• TJ Kohler

• Optometrist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.