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NPI Code Detail

MEDICARE: DR. C. STEVEN KOCKS O.D.

MEDICARE:  DR. C. STEVEN KOCKS  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist490100 3083MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1490100 3083OTHERMISTATE LICENSE NUMBER
201000819OTHERMIHEALTH PLUS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134114531
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. C. STEVEN KOCKS O.D.
Provider Business Mailing Address
First Line : 5319 OAKBROOK DR
Second Line :
City : SAGINAW
State : MI
Zip : 48603-8617
Country : US
Telephone Number : 989-793-9383
Fax Number :
Provider Business Practice Location Address
First Line : 1885 N CENTER RD
Second Line :
City : SAGINAW
State : MI
Zip : 48638-5565
Country : US
Telephone Number : 989-792-8686
Fax Number : 989-792-8382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 03/07/2023

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Directions to “ DR. C. STEVEN KOCKS O.D.” Practice Location

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