Individual
DR. WILLIAM ROBERT KOSSOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601001281
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09235591
—
VA
01
—
17033
AVESIS
VA
01
—
2150133
FIRST HEALTH
VA
01
—
32467
MAMSI
VA
01
—
4091903
AETNA
VA
01
—
452927
ANTHEM BC/BS
VA
01
—
6683
DAVIS
VA
01
—
902137
BLOCK
VA
01
—
C09338
MEDICARE GROUP
VA
Enumeration date
09/20/2005
Last updated
12/18/2009
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