Donald Joe Koets, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

SC497 Issued in SC

Practice address

206 E 2ND North St
Summerville, SC 29483-6858

Phone

(843) 851-1037

Fax

(843) 851-1392

NPI assigned

Aug 31, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  Medicare reassignment
• Donald J Koets

  • Optometrist
  • Summerville, SC
  • NPI 1235307240
  NPD (past) Authorized official
• F Mason Smith

  • Optometrist
  • Mt Pleasant, SC
  • NPI 1477795722
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689667016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E 2ND NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836858",
            "telephone_number": "843-851-1037",
            "fax_number": "843-851-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E 2ND NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836858",
            "telephone_number": "843-851-1037",
            "fax_number": "843-851-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOETS",
        "first_name": "DONALD",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AOA",
            "identifier": "014055",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO4975",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Knight, L.M.T
• Brian Knight
• Abigail Knobe
• Susan George Knoche, M.D.
• Kari Michelle Kocian
• Kyle Pentti Kokko, M.D., PH.D.
• Koko'S House of Gems
• Mary Lou Korpon, CPNP
• Allison Elizabeth Kosinski
• Ryanah Kourani

• Optometrist in Summerville, SC
• Providers in Summerville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.