Organization Active NPI

Kosko Eye Clinic, PA

  • Durable Medical Equipment & Medical Supplies
  • Greenwood, MS
National Provider Identifier
1679743850
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
7328 Issued in MS
Legal business name
KOSKO EYE CLINIC, PA
Practice address
1503 Strong Ave
Greenwood, MS 38930-4036
Phone
(662) 453-1133
Fax
(662) 455-9109
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Paul Igor Kosko, M.D.
Title
Owner
Phone
(662) 453-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 7328 MS Primary

Addresses

Primary practice location

1503 Strong Ave
Greenwood, MS 38930-4036

Mailing address

1503 Strong Ave
Greenwood, MS 38930-4036
Phone (662) 453-1133

National Provider Directory

National Provider Directory

Locations

1503 Strong Ave
Greenwood, MS 38930
Phone (662) 451-4570

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1679743850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 STRONG AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304036",
            "telephone_number": "662-453-1133",
            "fax_number": "662-455-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 STRONG AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304036",
            "telephone_number": "662-453-1133",
            "fax_number": "662-455-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSKO EYE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "KOSKO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-453-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "7328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.