Kim Joseph Koza, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6590 Issued in PA

Practice address

963 Beaver Grade Rd
Suite 1
Coraopolis, PA 15108-2717

Phone

(412) 262-2010

Fax

(412) 262-2070

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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.

• Eye Care Associates West

  • Optometrist
  • Moon Township, PA
  • NPI 1235366386
  NPD (past)

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073612974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 BEAVER GRADE RD",
            "address_2": "SUITE 1",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082717",
            "telephone_number": "412-262-2010",
            "fax_number": "412-262-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 BEAVER GRADE RD",
            "address_2": "SUITE 1",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082717",
            "telephone_number": "412-262-2010",
            "fax_number": "412-262-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZA",
        "first_name": "KIM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "6590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kobra Karimkhani MD PC
• Ashley N Konek, PT
• Bryanna Kort, MS, NCC
• Savannah Kosis, LPC
• Kellee Kovach, MA CCC-SLP
• Elizabeth Catherine Kozuch, OTR/L
• David V Krymowski, DMD
• Elizabeth Krystyniak, OTR
• Samuel Ethan Kubas, PHARMD
• Duranna Kurtz, OTR/L

• All providers in Coraopolis, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.