NICHOLAS LEO KOSHUTA (NPI# 1992701494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992701494 |
| Entity Type | Individual |
| Full Name | NICHOLAS LEO KOSHUTA |
| Credential | O.D. |
| Practice Address |
2820 N Glassford Hill Rd Ste 101 Prescott Valley AZ 86314-2256 |
| Practice Telephone | 9287755606 |
| Practice Fax Number | 9287724999 |
| Mailing Telephone | 9287755606 |
| Mailing Fax Number | 9287724999 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1264 | AZ | Eye and Vision Services Providers |
| Street Address |
2820 N GLASSFORD HILL RD STE 101 |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385647 | Michael Lee Ham | Ophthalmology | 2820 N Glassford Hill Rd, Ste 101, Prescott Valley, AZ 86314-2256 | 2005-06-08 |
| 1750894655 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 2820 N Glassford Hill Rd, Prescott Valley, AZ 86314-1242 | 2017-11-14 |
| 1043477847 | Kokopelli Eye Care Optical Dept | Technician/Technologist | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-1242 | 2008-05-20 |
| 1699956813 | Associated Retina Consultants, Ltd. | Ophthalmology | 2820 N Glassford Hill Rd, Prescott Valley, AZ 86314-1242 | 2007-11-15 |
| 1013038009 | Joanne C Hopman | Optometrist | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-1242 | 2007-04-03 |
| 1205858875 | Kokopelli Eye Care Surgery Center | Clinic/Center | 2820 N Glassford Hill Rd, Prescott Valley, AZ 86314-1242 | 2006-07-24 |
| 1528005444 | Kokopelli Eye Care PC | Specialist | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-1242 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168528 | Yavapai Eye Care LLC | Optometrist | 7840 E State Route 69 Unit A-5a, Prescott Valley, AZ 86314-2280 | 2020-03-06 |
| 1669626784 | Prescott Family Eyecare Incorporated | Optometrist | 7840 East Highway 69, Suite A5-a, Prescott Valley, AZ 86314 | 2008-11-17 |
| 1104080993 | William Robert Tanner | Optometrist | 3450 N Glassford Hill Rd, Prescott Valley, AZ 86314 | 2008-07-11 |
| 1558449983 | Renita Charlene Frost | Optometrist | 7840 E St Route Hwy 69, Suite A-5a, Prescott Valley, AZ 86314-2274 | 2006-11-02 |
| 1861471914 | Brian John Courtright | Optometrist | 3153 N Windsong Dr, Prescott Valley, AZ 86314-2240 | 2006-01-16 |
| 1780662734 | Bradley D Packer | Optometrist | 7840 E State Route 69 Ste A5a, Prescott Valley, AZ 86314-2280 | 2006-01-09 |
| 1477188894 | Yavapai Eye Associates PC | Optometrist | 7840 E State Route 69 Ste A5a, Prescott Valley, AZ 86314-2280 | 2020-03-05 |
| 1114449659 | Rachel Wells | Optometrist | 3223 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2017-07-15 |
| 1932540119 | John R Markham PC | Optometrist | 3223 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2013-07-16 |
| 1023238458 | Prescott Valley Eye Care PC | Optometrist | 3153 N Windsong Dr, Prescott Valley, AZ 86314-2240 | 2007-04-26 |
| Find all providers in PRESCOTT VALLEY | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.