Individual provider Active NPI

Len V Koh, O.D.

  • Optometrist
  • Spokane Valley, WA
National Provider Identifier
1710997440
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60731390 Issued in WA
Practice address
5601 E Sprague Ave
Spokane Valley, WA 99212-0826
Phone
(509) 842-0003
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60731390 WA Primary

Addresses

Primary practice location

5601 E Sprague Ave
Spokane Valley, WA 99212-0826

Mailing address

2804 W Parkway Dr
Spokane, WA 99208-6393
Phone (503) 270-6575

Other practice location 1

4815 N Assembly St
Spokane, WA 99205-6185
Phone (509) 434-7032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60731390WAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1710997440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 W PARKWAY DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086393",
            "telephone_number": "503-270-6575",
            "fax_number": "509-434-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992120826",
            "telephone_number": "509-842-0003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 N Assembly St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992056185",
            "country_code": "US",
            "telephone_number": "509-434-7032",
            "fax_number": "509-434-7132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOH",
        "first_name": "LEN",
        "middle_name": "V",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60731390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.