DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILLIP A. KOHANOV O.D. PC

Active Organization

PHILLIP A. KOHANOV O.D. PC is a Optometrist organization located in FORT GRATIOT, Michigan. NPI 1821279159 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FORT GRATIOT, MI

Registration Details

NPI Number
1821279159
Provider Type
Organization
NPI Issued
Nov 15, 2007 (18.743574041383 yrs)
Last Updated
Jun 5, 2012

Practice Information

Address
3833 24TH AVE
FORT GRATIOT, MI, 480594100
Browse MI providers · Browse ZIP 48059
Phone
8109855600
Fax
8109855740
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in FORT GRATIOT, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.