Gerald W Koskinen, OD.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2184 Issued in WI

Practice address

3278 W Main St
East Troy, WI 53120-0165

Phone

(262) 642-9719

Fax

(262) 642-2228

NPI assigned

Jan 10, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Koskinen Eye Clinic, LLCGroup PAC ID 8527134212, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Koskinen Eye Clinic, LLC

  • Optometrist
  • East Troy, WI
  • NPI 1609091313
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1780733477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3278 W MAIN ST",
            "address_2": "P O BOX 165",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531200165",
            "telephone_number": "262-642-9719",
            "fax_number": "262-642-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3278 W MAIN ST",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531200165",
            "telephone_number": "262-642-9719",
            "fax_number": "262-642-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKINEN",
        "first_name": "GERALD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38574600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Florence Kendall, LPN
• Kiwanis Manor Inc
• Danielle Marie Knight, OD
• Margaret M Knight, MD
• Koskinen Eye Clinic, LLC
• Sara L Krause, OTR
• Brandon Lagreca, CAC
• Truman George Long, CADC III
• James Stanley Marczewski
• Joanne Marie Marczewski, LPN

• Optometrist in East Troy, WI
• Providers in East Troy, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.