P Praxis·MD
● Active Type 1 · Individual

DR. Paul Erwin Koch, O.D.

Optometrist·Ponderay, ID· NPI 1124060041 · Enumerated 2006 · 19 years on NPI
Koch is 1 of 2 optometrist providers in Ponderay and 1 of 598 in Idaho.
NPI age
19 years
Enumerated 2006-06-12
Primary specialty
Optometrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-04-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 598 active optometrist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
476999 Highway 95
Ponderay, ID 838529738
📞 2082555513fax 2082555823
Mailing address
1455 Janish Dr
Sandpoint, ID 838646244
📞 2082554801fax 2082555823

Specialties

  • Optometrist Primary
    Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
    ID license #ODP-1026 taxonomy 152W00000X

Identifiers

TypeValueNotes
05 (ID) 806343800

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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