Elizabeth Ann Kochanny, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02607 Issued in MO

Practice address

3 Midrivers Mall Drive
Sears Optical
St. Peters, MO 63376

Phone

(636) 970-4554

Fax

(636) 970-3434

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 MO

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Clinic Ophthalmology LLC

  • Ophthalmology Physician
  • Washington, MO
  • NPI 1003179656
  Medicare reassignment NPD
• Mercy Health Services, LLC

  dba Mercy Eye Care

  • Eyewear Supplier
  • Saint Louis, MO
  • NPI 1992881973

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760524649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 HARVEY ST",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225529",
            "telephone_number": "314-821-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MIDRIVERS MALL DRIVE",
            "address_2": "SEARS OPTICAL",
            "city": "ST. PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-970-4554",
            "fax_number": "636-970-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHANNY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KLS Nutrition (Monarch Nutrition Counseling)
• KMGP Holdings LLC (Feeding Friends Therapy Services)
• Mary K Knight Macheca, ANP
• Gordon C Knight, D.O.
• Connie Marie Knox, MA, LPC, NCC
• Koelling & Turnbull Chiropractic Center, P.C.
• Richard Allen Koelling, D.C.
• Cameron Koester, DO
• Michelle Marie Koester, WHNP
• Kevin Jon Kohnke

• Optometrist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Optometrist in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.