Individual
DR. STEPHEN KOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1927 COOPER FOSTER PARK RD, AMHERST, OH 44001-1207
(440) 282-6100
(440) 282-6101
Mailing address
1927 COOPER FOSTER PARK RD, AMHERST, OH 44001-1207
(440) 282-6100
(440) 282-6101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0321075
—
OH
Enumeration date
03/21/2006
Last updated
10/09/2008
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