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Flagstaff Eye Care PLLC

NPI 1780711317ActiveOrganization· Optometrist· Flagstaff, AZ

Optometrist in Flagstaff, Arizona, registered in NPPES in February 2007. The authorized official on file is Nicholas L. Koshuta, O.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1780711317
StatusActive
Entity typeOrganization
NPI issuedFeb 28, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X80278971AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AZ)

Medicare sources and data years

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