Eun-Young Esther Ko, OD, MPH

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00699800 Issued in NJ

Practice address

130 Black Horse Pike Ste D-4
Audubon, NJ 08106-1960

Phone

(856) 672-3326

NPI assigned

Mar 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• America'S Best Contacts and Eyeglasses

  • Optician
  • Audubon, NJ
  • NPI 1427240423
  NPD (past)

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1265068613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BLACK HORSE PIKE STE D-4",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BLACK HORSE PIKE STE D-4",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061960",
            "telephone_number": "856-672-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "EUN-YOUNG",
        "middle_name": "ESTHER",
        "credential": "OD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "DA2724",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00699800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Medical Group Practice P.C.
• Alex-Leigh Kevitch, CLPD
• Kim Finnie LCSW LLC
• Christine Marie Kirk, NP
• Robert Christopher Kirk, PMHNP-BC
• Scott Lee Lapayover, ATC
• Mariah Laraio, RD
• Simone Allegra Lavine, LPC
• Amanda Leone, LSW
• Maria Livecchi

• Optometrist in Audubon, NJ
• Providers in Audubon, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.