Eunice Maya Kohara, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20A11347 Issued in CA

Practice address

3831 Hughes Ave Ste 104
Culver City, CA 90232-6834

Phone

(323) 682-0289

Fax

(855) 538-9401

NPI assigned

Nov 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ekohara794255@direct.uclahealth.org

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.

• Koharaeye, PC

  • Ophthalmology Physician
  • Culver City, CA
  • NPI 1497262141

  Single Specialty

  Medicare reassignment NPD Authorized official
• Clear Vision Ophthalmology PLLC

  • Ophthalmology Physician
  • Jackson Heights, NY
  • NPI 1700206067

  Single Specialty

  Medicare reassignment NPD
• Interfaith Professional Physician Services, P.C.

  • Allergy Physician
  • Brooklyn, NY
  • NPI 1457643991

  Single Specialty

  Medicare reassignment NPD
• Sight Medical Doctors PLLC

  • Ophthalmology Physician
  • Hauppauge, NY
  • NPI 1487077483

  Single Specialty

  Medicare reassignment NPD
• Sight Medical Doctors PLLC

  • Durable Medical Equipment & Medical Supplies
  • Johnson City, NY
  • NPI 1730040700
  NPD
• Providence Saint John'S Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273

  Single Specialty

  NPD (past)
• St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  NPD (past)
• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713

  Ophthalmology

  NPD (past)
• Medalliance Medical Health Services Inc

  • Clinic/Center
  • Bronx, NY
  • NPI 1558356741

  Single Specialty

  NPD (past)
• The Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1487724712
  NPD (past)
• Weoc ER Inc

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1194953760

  Single Specialty

  NPD (past)
• Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1700886322
  NPD (past)

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1386899631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 104",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326834",
            "telephone_number": "323-682-0289",
            "fax_number": "855-538-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 104",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326834",
            "telephone_number": "323-682-0289",
            "fax_number": "855-538-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHARA",
        "first_name": "EUNICE",
        "middle_name": "MAYA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-28",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "258651",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CA",
            "license": "20A11347",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A11347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Leonard Knudson, DPM
• Michael Deante Koger
• Kohan International Foundation
• Pedram Kohan, M.D.
• Ashkan Shawn Kohanpour, PHARM.D.
• Koharaeye, PC
• Marissa Moschanthi Kolcum, M.A.
• Theotokis Kolovos, D.D.S.
• Chisato Komatsu, BCBA-D, PH.D.
• Michelle W Kong

• Ophthalmology Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.