Stefan Matthew Kochis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003518 Issued in CO

Practice address

5550 E Woodmen Rd
Colorado Springs, CO 80920-5257

Phone

(719) 531-5566

Fax

(719) 437-3460

NPI assigned

Oct 30, 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

Medicare fee-for-service enrollment

Enrolled in CO

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

University of Houston - College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak View Optometry Peterson PLLCGroup PAC ID 9931512589, 2 clinicians

Bluebell Vision PLLCGroup PAC ID 0244747897, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Bluebell Vision PLLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1881489656
  Medicare reassignment Care Compare group NPD
• Peak View Optometry Peterson, PLLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1568064541
  Medicare reassignment Care Compare group NPD
• Peak View Optometry Fort Carson, LLC

  • Optometrist
  • Fort Carson, CO
  • NPI 1194327148
  Medicare reassignment NPD
• Evergreen Optometry, PLLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1801561634
  Medicare reassignment

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1326124686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 E WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205257",
            "telephone_number": "719-531-5566",
            "fax_number": "719-437-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 E WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205257",
            "telephone_number": "719-531-5566",
            "fax_number": "719-437-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHIS",
        "first_name": "STEFAN",
        "middle_name": "MATTHEW",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleah Koch
• Amy Nicole Koch
• Brian Koch
• Jaylynne S Koch, PHD, LPC, RPT-S
• Kristina Marie Koch, MPT
• Koco-Para Medical Services LLC
• Jody Kocsis
• Edward Anthony Koditek, DDS
• Hope Koebel
• Amme Lynn Koehler

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.