Organization
DAVID A. KOCH, O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KOCH O.D. (OWNER)
(937) 667-6914
Entity
Organization
Contact information
Practice address
410 N HYATT ST, TIPP CITY, OH 45371-1434
(937) 667-6914
(937) 667-3744
Mailing address
410 N HYATT ST, TIPP CITY, OH 45371-1434
(937) 667-6914
(937) 667-3744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
55031434
OH
332H00000X
Eyewear Supplier
55031434
OH
Other
Enumeration date
02/21/2008
Last updated
06/21/2013
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