P Praxis·MD
● Active Type 2 · Organization

Dr. Paul E. Koch, Optometrist, P.c

Optometrist·Ponderay, ID· NPI 1255574711 · Enumerated 2009 · 17 years on NPI
Dr. Paul E. Koch, Optometrist, P.c is 1 of 598 optometrist organizations in Idaho.
NPI age
17 years
Enumerated 2009-04-14
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Koch
President
Last NPPES update
2014-02-26
Source: monthly bulk 2026-05

How this organization compares

Across 598 active optometrist providers in Idaho.

NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2009 → 2026

2009-04Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
476999 Highway 95, C/o Walmart Vision Center
Ponderay, ID 838529738
📞 2082555513fax 2082555823
Mailing address
476999 Highway 95
Ponderay, ID 838529738
📞 2082555513fax 2082555823

Authorized official

Paul Erwin Koch, O.D.
President
📞 2082902401

Individual providers at this organization

2 individual providers on file at this primary practice address.

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 #ODP1026 taxonomy 152W00000X

Identifiers

TypeValueNotes
05 (ID) 806343800

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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