| Dr Daniel James Koch, OD | |
|
25 W Hubbard Ave, Columbus, OH 43215-1410 | |
| (614) 421-2020 | |
| (614) 421-9115 |
| Full Name | Dr Daniel James Koch |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 25 W Hubbard Ave, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669545042 | NPI | - | NPPES |
| 4628497 | Other | OH | AETNA PROVIDER ID # |
| 1325654 | Other | OH | WORKERS' COMP. RISK # |
| 34-1585183-00 | Other | OH | BWC PROVIDER NUMBER |
| 000000134652 | Other | OH | ANTHEM BC PROVIDER ID # |
| 0821114 | Medicaid | OH | |
| 34-1585183 | Other | OH | FEDERAL TAX ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3759T520 (Ohio) | Primary |
| 152W00000X | Optometrist | 1226 (Colorado) | Secondary |
| Provider Name | Daniel J. Koch, O.d., Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689849549 PECOS PAC ID: 1658444609 Enrollment ID: O20080723000825 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel James Koch, OD 25 W Hubbard Ave, Columbus, OH 43215-1410 Ph: (614) 421-2020 | Dr Daniel James Koch, OD 25 W Hubbard Ave, Columbus, OH 43215-1410 Ph: (614) 421-2020 |
Bethel Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 1960 Bethel Rd, Suite 150, Columbus, OH 43220 Phone: 614-459-4093 Fax: 614-451-4051 | |
Columbus Eye Care Associates, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 4775 Knightsbridge Blvd, Columbus, OH 43214 Phone: 614-459-0600 Fax: 614-515-4569 | |
Dr. Robert Douglas Newcomb, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 320 W 10th Ave, Columbus, OH 43210 Phone: 614-292-6019 Fax: 614-688-5603 | |
North Star Vision Center At Olentangy, L.l.c. Optometrist Medicare: Medicare Enrolled Practice Location: 4885 Olentangy River Rd, Columbus, OH 43214 Phone: 614-326-1830 Fax: 614-326-1832 | |
Dr. Jana Leigh Rhodes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 81 E Gay St, Columbus, OH 43215 Phone: 614-885-7997 Fax: 614-885-8595 | |
Levitin Eye Care Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3469 E Broad St, Columbus, OH 43213 Phone: 614-235-2392 | |
Barbara M Benutto, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6500 Sawmill Rd, Columbus, OH 43235 Phone: 614-798-0266 |