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Deactivated NPI 1871665182 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Lyle Koch , OD

Optometrist • Spokane, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Koch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 14, 2006
NPI Deactivation Date June 26, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Koch, OD was a registered Optometrist practicing in Spokane, WA. Throughout an active medical career spanning 18 years, Dr. Koch provided care at the practice location at 124 E ROWAN AVE until profile deactivation on 2024-06-26.

Practice Location & Contact Primary Location

Practice Address

124 E Rowan Ave
Suite 101

Spokane, WA 992071214

Telephone 5094846550
Associated Practice Facility / Clinic
🏢 Matthew A Jones Od Ps Facility NPI 1750471173

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.9 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
90 Specialists

Practicing in Spokane, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA 0301980

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 identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1679663090

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 26, 2024

Record deactivated on June 26, 2024

NPI Profile Active October 11, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 11, 2007

Registered at 124 E ROWAN AVE, SUITE 101, SPOKANE, WA 992071214 (Tel: 5094846550)

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Updated Business Mailing Address October 11, 2007

Registered at 124 E ROWAN AVE, SUITE 101, SPOKANE, WA 992071214 (Tel: 5094846550)

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Provider Name / Credentials Updated October 11, 2007

Recorded as KENNETH KOCH, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2007

Optometrist (License #0301980 in WA)

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Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871665182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: October 11, 2007
Deactivation Date: June 26, 2024

Mailing Address

124 E Rowan Ave, Suite 101

Spokane, WA 992071214

Phone: 5094846550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.