Michael Kenneth Henry Kossow, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4945 Issued in OH

Practice address

1038 Rome Beauty Dr
Amherst, OH 44001-3142

Phone

(440) 724-0442

Fax

(216) 741-6653

NPI assigned

Feb 16, 2007

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

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Dr. George D. Poulos and Associates, Inc.Group PAC ID 1850395179, 10 clinicians

Practice addresses (Care Compare)

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.

• Dr. George D. Poulos & Associates, Inc.

  • Optometrist
  • Strongsville, OH
  • NPI 1801842117
  Medicare reassignment Care Compare group NPD
• Family First Vision Care, LLC

  • Optometrist
  • Columbus, OH
  • NPI 1427462183
  Medicare reassignment NPD

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740324631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 ROME BEAUTY DR",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440013142",
            "telephone_number": "440-724-0442",
            "fax_number": "216-741-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 ROME BEAUTY DR",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440013142",
            "telephone_number": "440-724-0442",
            "fax_number": "216-741-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSOW",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH HENRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie King
• Jennifer Alice Klemme, SLP
• Stephen Koos, OD
• Jake Kosman, DMD
• Stanley Francis Koss, D.D.S.
• Lara Kovacs, M.A. CCC-SLP
• Alison Helene Kraig, NURSE PRACTITIONER
• Lydia Kraszewski
• Kimberly Ann Kroesen
• Katharine Brooke Krueger, MSW, LSW

• Optometrist in Amherst, OH
• Providers in Amherst, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.