Kenneth Lyle Koch is a Spokane, Washington based male Optometrist who is specialized in Optometry. Active license number of Kenneth Lyle Koch is 0301980 for Optometry in Washington.
Kenneth Lyle Koch examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Kenneth Lyle Koch speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Optometry |
| Credentials: | OD |
| Gender: | Male |
| Practice Address: | 124 E Rowan Ave, Suite 101, Spokane,
Washington, 99207-1214 |
| Phone: | 509-484-6550 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1871665182 |
| NPI Enumeration Date: | 14 Nov, 2006 |
| NPI Last Update On: | 11 May, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Lyle Koch are as mentioned below.
| License Number | Specialization | State | Status | |
| 0301980 | Optometry | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth Lyle Koch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2021509 | Medicaid | Washington | |
| 25685 | Other | Washington | L & I |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 124 E Rowan Ave, Suite 101
Spokane, Washington |
| Zip: | 99207-1214 |
| Phone Number: | 509-484-6550 |
| Fax Number: | -- |
Patients can reach Kenneth Lyle Koch at
124 E Rowan Ave, Suite 101, Spokane, Washington or can
call to book an appointment on 509-484-6550. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.