Benjamin J Kohn, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

8521T Issued in CA

Practice address

2121 41St Ave
Ste 108
Capitola, CA 95010-2056

Phone

(831) 476-7744

NPI assigned

Jan 18, 2007

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 CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Krok and Shen Optometrists Inc

  • Optometrist
  • Santa Cruz, CA
  • NPI 1891999660
  Medicare reassignment NPD
• Michael G Sonnleitner

  • Optometrist
  • Capitola, CA
  • NPI 1457482739
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1609929215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 41ST AVE",
            "address_2": "STE 108",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102056",
            "telephone_number": "831-476-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 41ST AVE",
            "address_2": "STE 108",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102056",
            "telephone_number": "831-476-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHN",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "8521T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Knudtson
• Bryan Mathew Koch
• Michele Annette Koch, PT, CLT-LANA, WCC
• Bruce Daniel Koehler, D.C.
• Jason Andrew Koehler, MA, MFTI
• Mariah Kolbo
• Michael Andrew Koplen, D.C.
• Jennifer Kortright
• Elizabeth Kovacevich, MFT
• River Krimmer, LMFT

• Vision Therapy Optometrist in Capitola, CA
• Providers in Capitola, CA by specialty
• Vision Therapy Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.