Michelle A. Koury, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001603 Issued in PA

Practice address

495 Eisenhower Dr
Hanover, PA 17331-5215

Phone

(717) 633-5554

NPI assigned

Jun 19, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1629013867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 EISENHOWER DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315215",
            "telephone_number": "717-633-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 EISENHOWER DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315215",
            "telephone_number": "717-633-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURY",
        "first_name": "MICHELLE",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard-M. Kosko, D.C.
• Elizabeth Ceceile Kostin, RPH
• Krystal Lynn Kotacska, LGPC
• Koury Family Eye Care, LLC
• John J. Koury, O.D.
• Gretchen M Krebs, LCSW
• Christopher D Krepps
• Richard Lester Krill, DMD
• Alexandra Krishnan, DMD
• Heather Kritsberg, CRNP

• Optometrist in Hanover, PA
• Providers in Hanover, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.