SearchIdahoOptometrist

Paul Koch, O.D

NPI 1124060041 · on the registry since 2006

Practice

Address
476999 Highway 95
Ponderay, ID 83852
Phone
(208) 255-5513
Fax
(208) 255-5823
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc
Dr. Paul E. Koch, Optometrist, P.C
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho