Kregg C Koons, OD OPTOMETRY

Primary specialty

OptometristTaxonomy code 152W00000X

License

2701 Issued in IN

Practice address

3300 W Fox Ridge LN
Muncie, IN 47304-5201

Phone

(765) 289-4727

Fax

(765) 751-2207

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kregg Koons OD IncGroup PAC ID 5698724706, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Kregg Koons O.D., Inc.

  • Optometrist
  • Muncie, IN
  • NPI 1902143456
  Medicare reassignment Care Compare group NPD Authorized official
• Kregg Koons O.D., Inc.

  • Optometrist
  • Anderson, IN
  • NPI 1215274626
  NPD (past) Authorized official
• Kregg Koons O.D., Inc.

  • Optometrist
  • Muncie, IN
  • NPI 1235624289
  NPD (past) Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1962515791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S BUCKINGHAM RD",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473969253",
            "telephone_number": "765-722-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W FOX RIDGE LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045201",
            "telephone_number": "765-289-4727",
            "fax_number": "765-751-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONS",
        "first_name": "KREGG",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD OPTOMETRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "2701",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002701B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100376600",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christa Kohne
• Alan K Kojima, MD
• Sashank Kolli, M.D
• Sudarshan K Komanapalli, MD
• Abby L Koons, NP
• Kimberly L Koors, NP
• Jan Roman Kornilow, M.D.
• Michelle A Korporal, BSW
• Elizabeth Anne Koselke, PHARM.D.
• Joseph A Koss, MD

• Optometrist in Muncie, IN
• Providers in Muncie, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.
• 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.