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“Optometrist” (Ponderay, ID)

Location: Ponderay, ID
Taxonomy: Optometrist.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1124060041 — DR. PAUL ERWIN KOCH O.D.
Practice Location Address:
476999 HIGHWAY 95
PONDERAY ID
83852-9738
Practice Phone: 208-255-5513
1255574711 — DR. PAUL E. KOCH, OPTOMETRIST, P.C
Practice Location Address:
476999 HIGHWAY 95 C/O WALMART VISION CENTER
PONDERAY ID
83852-9738
Practice Phone: 208-255-5513

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