Kosta a. Koutoulas, OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KOSTA A. KOUTOULAS, OD INC

Doing business as

Clear Vision Eyecare

Practice address

7380 Mission St
Daly City, CA 94014-2666

Phone

(650) 757-8286

Fax

(650) 757-8032

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kosta A Koutoulas, ODNPI 1609938539

Title

Provider/Ceo

Phone

(650) 757-8286

Specialties & licenses 1

Addresses

Other names 1

• Clear Vision Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kosta A. Koutoulas, O.D.

  • Optometrist
  • Daly City, CA
  • NPI 1609938539
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1760295422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 MISSION ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142666",
            "telephone_number": "650-757-8286",
            "fax_number": "650-757-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 MISSION ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142666",
            "telephone_number": "650-757-8286",
            "fax_number": "650-757-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSTA A. KOUTOULAS, OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "KOUTOULAS",
        "authorized_official_first_name": "KOSTA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER/CEO",
        "authorized_official_telephone_number": "650-757-8286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Vision Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clear Vision Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nino Kobakhidze
• Christina Kong
• Cindy Kong, O.D.
• Luis R Kong, D.D.S.
• Alexander Kosoff
• Kosta A. Koutoulas, O.D.
• Kay Jiraporn Galang Kovitprakornkul, DPT
• KPC Global Medical Center of San Mateo County LLC
• KPC Global Medical Center of San Mateo County LLC
• KPC Global Medical Center of San Mateo County LLC

• Optometrist in Daly City, CA
• Providers in Daly City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.