Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILLIP A KOHANOV, O.D.
Active Sole ProprietorDR. PHILLIP A KOHANOV, O.D. is a Optometrist healthcare provider located in FORT GRATIOT, Michigan. NPI 1184615742 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FORT GRATIOT, MI
Registration Details
- NPI Number
- 1184615742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2005 (20.743586391893 yrs)
- Last Updated
- Jun 6, 2012
- License
-
4901003217 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3833 24TH AVEFORT GRATIOT, MI, 480594100Browse MI providers · Browse ZIP 48059
- Phone
- 8109855600
- Fax
- 9109855740
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FORT GRATIOT, MI
| Name | Credential | NPI |
|---|---|---|
| DR. HEIDI MARIE MCCULLAH | O.D. | 1538164728 |
| THOMAS LEES | OD | 1407842040 |
| LEIGH SHORES | O.D. | 1215025572 |
| MARY COUGHLIN-SHORES | O.D. | 1427146778 |
| DENNIS J KAUTZMAN | O.D. | 1023171857 |
| DONNA L SUITER | O.D. | 1184773905 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.