Gregory S Koenig, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

321 Issued in NV

Practice address

415 US Highway 95a S
Suite 101
Fernley, NV 89408-9007

Phone

(775) 575-1966

Fax

(775) 575-1967

NPI assigned

Jan 23, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robertson and Koenig LTDGroup PAC ID 5193616480, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robertson & Koenig, LTD

  • Optometrist
  • Fernley, NV
  • NPI 1699745059
  Medicare reassignment Care Compare group NPD
• Robertson & Koenig LTD

  dba Dr Carl D Robertson and Dr Gregory S Koenig Optometrists

  • Optometrist
  • Fallon, NV
  • NPI 1194798231
  NPD
• Robertson & Koenig,LTD

  dba Dayton Family Vision

  • Optometrist
  • Dayton, NV
  • NPI 1255226072
  NPD
• Chang & Engle MDS, PC

  dba Nevada Eye Consultants

  • Ophthalmology Physician
  • Reno, NV
  • NPI 1396923975
  NPD (past)
• Robertson & Koenig, LTD

  • Optometrist
  • Yerington, NV
  • NPI 1215129069
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1255301388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 US HIGHWAY 95A S",
            "address_2": "SUITE 101",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089007",
            "telephone_number": "775-575-1966",
            "fax_number": "775-575-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 US HIGHWAY 95A S",
            "address_2": "SUITE 101",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089007",
            "telephone_number": "775-575-1966",
            "fax_number": "775-575-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "GREGORY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002501100",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rena Jones
• Kerie Justus Morgan, RN
• David Kahn, D.C.
• Shari Kassebaum
• Kimberly Brown Counseling Services
• Destiny Kolkman
• Kristina J Rhodes OD LTD (revolutionEYES)
• Laken Alyss-Mitchell Kurth, PHARMD, RPH
• Stephanie J Lashuk
• Kristin Anne Laxalt, M.D.

• Optometrist in Fernley, NV
• Providers in Fernley, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.