Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY C KOSSOL, O.D.
ActiveDR. JEFFREY C KOSSOL, O.D. is a Optometrist healthcare provider located in PALO CEDRO, California. NPI 1629053541 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PALO CEDRO, CA
Registration Details
- NPI Number
- 1629053541
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2005 (20.645105083525 yrs)
- Last Updated
- Mar 9, 2009
- License
-
OPT 7249 TPL (CA)
Practice Information
- Address
-
9372 DESCHUTES RDPALO CEDRO, CA, 960739763Browse CA providers · Browse ZIP 96073
- Phone
- 5305472020
- Fax
- 5305472101
- Primary Specialty
-
Optometrist
152W00000X
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.