Kosir Family Eyecare, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

633 Issued in ND

Legal business name

KOSIR FAMILY EYECARE, PLLC

Practice address

4204 38TH Ave S
Fargo, ND 58104-7549

Phone

(701) 293-6716

NPI assigned

Sep 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristen N Kosir, O. D.

Title

Presiden

Phone

(701) 293-6716

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609971837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 38TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-293-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 38TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047549",
            "telephone_number": "701-293-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSIR FAMILY EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOSIR",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "701-293-6716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jeanette Reinhart Kornkven, LMSW
• Mustapha Ronald Koroma
• Patrick Koroma
• Heidi Rose Korsmo
• Kari Kosidowski
• Kristen Nicole Kosir, O.D.
• Emily A Koska, APRN,CNP
• Jordyn Ann Koski, LCSW
• Karen E Kostecki, CRNA
• Sara Tawiah Kotey

• Optometrist in Fargo, ND
• Providers in Fargo, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.