MEDICARE: SOUNGWOOK KOH

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
1	156FX1800X	Optician		CO

General Provider Information

NPI Number	:	1881418754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOUNGWOOK KOH

Provider Business Mailing Address
First Line	:	6324 S WALDEN CT
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-1169
Country	:	US
Telephone Number	:	720-822-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 S HAVANA ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1014
Country	:	US
Telephone Number	:	720-822-0700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2024
Last Update Date	:	11/08/2024

Similar Medicare Providers

1629582952 — YEONG RICHARDSON
Practice Location Address:

2060 S HAVANA ST
AURORA, CO
80014-1014

Practice Phone: 303-750-0036
Practice Fax:

1295240042 — GRACE ADULT DAY CARE CENTER LLC
Practice Location Address:

2060 S HAVANA ST
AURORA, CO
80014-1014

Practice Phone: 303-750-0036
Practice Fax:

1790269017 — ONESTOP HEALTH CARE
Practice Location Address:

2060 S HAVANA ST
AURORA, CO
80014-1014

Practice Phone: 720-546-3256
Practice Fax: 303-750-0302

1952528390 — MISS ANNA DIDONNA ATC
Practice Location Address:

316 ACORN DR
NORTH AURORA, IL
60542-1014

Practice Phone: 630-712-0489
Practice Fax:

1760987515 — ERIC RAUL SIMENTAL
Practice Location Address:

1014 CLAIM ST
AURORA, IL
60505

Practice Phone: 630-674-0898
Practice Fax:

1144710450 — SHALONDA T HAGGERTY
Practice Location Address:

2360 DAYTON ST
AURORA, CO
80010-1014

Practice Phone: 972-515-5600
Practice Fax:

Directions to “ SOUNGWOOK KOH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.