Christine F Ko, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

9941T Issued in CA

Practice address

5426 Central Ave
Newark, CA 94560-4408

Phone

(510) 744-9100

NPI assigned

Oct 9, 2007

Last updated

Dec 12, 2013By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Loren Donnell Smith OD Inc

  • Clinic/Center
  • Newark, CA
  • NPI 1649692575
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1811185523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 CENTRAL AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945604408",
            "telephone_number": "510-744-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 CENTRAL AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945604408",
            "telephone_number": "510-744-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "CHRISTINE",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "9941T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DL579A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "SD0099410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jina Kim, DPT
• Kristina Kim
• Tanya Kim
• Sarah Ann King
• Nicholas M Knight
• Kohli Dental Corp (Newark Family Dental)
• Julia Angela Kolesnikov
• Samantha Kopenski
• Alexander Paily Koshy
• Kiersten Jade Kovach

• Corneal and Contact Management Optometrist in Newark, CA
• Providers in Newark, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.