Nicole Koulisis is a Encino, California based female Ophthalmologist with 7 years of experience in Ophthalmology. She completed her graduation from Other in 2017. She is also affiliated with hospitals like Good Samaritan Hospital. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicole Koulisis is A157849 in California.
Nicole Koulisis is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Nicole Koulisis 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: | Ophthalmology |
| Credentials: | MD |
| Experience: | 7+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Gender: | Female |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5400 Balboa Blvd Ste 126, Encino,
California, 91316-5202 |
| Phone: | 818-578-0004 |
| Fax: | 818-578-0002 |
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.
| PAC ID: | 8921379439 |
| Enrollment ID: | I20210610001639 |
| NPI Number: | 1073033213 |
| NPI Enumeration Date: | 20 Jun, 2017 |
| NPI Last Update On: | 01 Dec, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Koulisis are as mentioned below.
| License Number | Specialization | State | Status | |
| A157849 | | California | Primary | |
| A157849 | Ophthalmology | California | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Good Samaritan Hospital (050471) | Los angeles, CA | Acute Care Hospital |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Nicole Koulisis has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Retina Vitreous Associates Medical Group (5799769584) | 13 |
| Usc Care Medical Group Inc (0446157747) | 1098 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5400 Balboa Blvd Ste 126,
Encino, California |
| Zip: | 91316-5202 |
| Phone Number: | 818-578-0004 |
| Fax Number: | 818-578-0002 |
Patients can reach Nicole Koulisis at
5400 Balboa Blvd Ste 126, Encino, California or can
call to book an appointment on 818-578-0004. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.