Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS LEO KOSHUTA, O.D.
ActiveNICHOLAS LEO KOSHUTA, O.D. is a Optometrist healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1992701494 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PRESCOTT VALLEY, AZ
Registration Details
- NPI Number
- 1992701494
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2005 (21.142321230879 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1264 (AZ)
Practice Information
- Address
-
2820 N GLASSFORD HILL RDSTE 101PRESCOTT VALLEY, AZ, 863142256Browse AZ providers · Browse ZIP 86314
- Phone
- 9287755606
- Fax
- 9287724999
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PRESCOTT VALLEY, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. GARY HOWARD GREENE | O.D. | 1568454155 |
| DR. BRADLEY D PACKER | O.D. | 1780662734 |
| DR. BRIAN JOHN COURTRIGHT | O.D. | 1861471914 |
| DR. BRADLEY DALLAS FREESTONE | O.D. | 1134133960 |
| DR. RENITA CHARLENE FROST | OD | 1558449983 |
| MRS. JOANNE C HOPMAN | — | 1013038009 |
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.