Dale Koers, OD, MS

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT7248TPG Issued in CA

Practice address

3830 Valley Centre Dr
Suite 703
San Diego, CA 92130-3320

Phone

(858) 350-4980

NPI assigned

Mar 19, 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

Medicare fee-for-service enrollment

Enrolled in CA

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

Credentials

Master of Science

State licenses

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 and National Provider Directory roles.

• Invision Optometry Ventures, Inc

  • Optometrist
  • San Diego, CA
  • NPI 1326714197
  Medicare reassignment NPD
• Vision Boutique Optometry

  • Optometrist
  • San Diego, CA
  • NPI 1598112914
  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1902921232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 VALLEY CENTRE DR",
            "address_2": "SUITE 703",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 VALLEY CENTRE DR",
            "address_2": "SUITE 703",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303320",
            "telephone_number": "858-350-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERS",
        "first_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "OD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7248TPG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yael Koenig, LCSW
• Paul Victor Koepke
• Kyla Marie Koerber, RN
• Nicolas Koegel Koerber, MD
• Sarah Koerner-Jordan, PSYD
• Mark Koester, RMSK
• Michael Koesterer
• Sodeth Koeut, BS
• Sophia Koeut
• Violeta Kofman, OTD, OTR/L

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.