David A Koch, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T1099/3544 Issued in OH

Practice address

410 N Hyatt St
Tipp City, OH 45371-1434

Phone

(937) 667-6914

Fax

(937) 667-3744

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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)

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.

• Entyre Vision Care, Inc.

  • Optometrist
  • Tipp City, OH
  • NPI 1194865451
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1649204058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N HYATT ST",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711434",
            "telephone_number": "937-667-6914",
            "fax_number": "937-667-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N HYATT ST",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711434",
            "telephone_number": "937-667-6914",
            "fax_number": "937-667-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T1099/3544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000018967",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Key
• Kitty Kincaid, LSW
• Christopher Scott Kleather, MD
• Knapke Counseling Services LTD
• Jerry O Knapke, LPCC
• Lindsey Elizabeth Koehn, RN
• Patricia A Kruse, FNP-BC
• Anupama S Kulkarni, MD
• Angela Kuzniczci
• Kennedy Rose Lair

• Optometrist in Tipp City, OH
• Providers in Tipp City, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.