SearchWisconsinOptometrist

Bruce Koch, OD

NPI 1720031529 · on the registry since 2006

Practice

Address
1110 Prairie St
Prairie Du Sac, WI 53578
Phone
(608) 643-3333
Fax
(608) 644-3852
Organisation at this address
Dean Retail Services Inc
Dean Health Systems, Inc.
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
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-04-11
Status
Not present in the most recent federal file

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 Wisconsin