Daniel J Kosterman, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPTT161 Issued in AK

Practice address

11401 Old Glenn Hwy 106B
Eagle River, AK 99577

Phone

(907) 696-8733

Fax

(907) 696-8733

NPI assigned

Nov 21, 2006

Last updated

May 16, 2018By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

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

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/Freedom_ACES

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.

• Alaska Childrens Eye and Strabismus LLC

  • Ophthalmology Physician
  • Anchorage, AK
  • NPI 1851721146
  NPD (past)
• Marvin John Grendahl MD a Professional Corp.

  • Ophthalmology Physician
  • Anchorage, AK
  • NPI 1063694750
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1386719953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 OLD GLENN HWY 106B",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99577",
            "telephone_number": "907-696-8733",
            "fax_number": "907-696-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 OLD GLENN HWY 106B",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99577",
            "telephone_number": "907-696-8733",
            "fax_number": "907-696-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTERMAN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "161",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "OPTT161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OD1161",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacklyn Kirk
• Ashley Klinger
• Erik P Kohler, MD
• Carly Amelia Kopinski, DC
• Elena Kosbruk
• Deborah Susan Kroll, PH.D., ED.S., L.P.
• Nikki Kronberger
• Claire Kudyba
• Courtney Marie Kujansuu, MSN, RN
• Gail Kurth

• Optometrist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.