Organization Active NPI

Dr Kohler and Associates Inc

  • Optometrist
  • Orange City, FL
National Provider Identifier
1851758890
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4598 Issued in FL
Legal business name
DR KOHLER AND ASSOCIATES INC
Practice address
2578 Enterprise Rd
Unit 167
Orange City, FL 32763-7904
Phone
(386) 216-4738
Fax
(386) 218-4085
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Tonya M Kohler, O.D.NPI 1568755361
Title
Owner
Phone
(386) 216-4738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4598 FL Primary

Addresses

Primary practice location

2578 Enterprise Rd
Unit 167
Orange City, FL 32763-7904

Mailing address

2578 Enterprise Rd
Unit 167
Orange City, FL 32763-7904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210317002017 IN Part B Supplier - Clinic/Group Practice 5294020756 Receives reassigned benefits from 1 practitioner
Practice locations: Evansville, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1851758890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 ENTERPRISE RD",
            "address_2": "UNIT 167",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 ENTERPRISE RD",
            "address_2": "UNIT 167",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637904",
            "telephone_number": "386-216-4738",
            "fax_number": "386-218-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KOHLER AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-216-4738",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.