Jeffrey C Kossol, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 7249 TPL Issued in CA

Practice address

9372 Deschutes Rd
Palo Cedro, CA 96073-9763

Phone

(530) 547-2020

Fax

(530) 547-2101

NPI assigned

Dec 13, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Allisyn Feucht, O.D., Inc.

  • Optometrist
  • Palo Cedro, CA
  • NPI 1316289309
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1629053541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9372 DESCHUTES RD",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960739763",
            "telephone_number": "530-547-2020",
            "fax_number": "530-547-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9372 DESCHUTES RD",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960739763",
            "telephone_number": "530-547-2020",
            "fax_number": "530-547-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSOL",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 7249 TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0072491",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie J Smith Chiropractic Inc
• Jeffrey C Kossol, O.D., Inc
• Ryan Joseph Kaplan, DPT
• Mary L Kirby, L.C.S.W.
• Gabriel Charles Kossol
• Mary Paradis Professional Nursing PC
• Teri Anne Milburn, LVN
• Modoc Family Pharmacy Inc
• Katalin J Neubert, FNP
• Tam Thanh Nguyen

• Optometrist in Palo Cedro, CA
• Providers in Palo Cedro, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.