Kosta A. Koutoulas, Od Inc
NPI 1760295422ActiveOrganization· Optometrist· Daly City, CA
Optometrist in Daly City, California, registered in NPPES in January 2025. The authorized official on file is Kosta A. Koutoulas, OD, Provider/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760295422 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 28, 2025 |
| Last updated in NPPES | Jan 30, 2025 |
| Certified by provider | Jan 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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