Koss, Gerald W.
Koss, Gerald W. is an individual health care provider with primary practice located at 90 Village At Glynn Pl , Brunswick GA 31525-1993. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Koss, Gerald W. can be contacted via phone (912) 264-6000.Contact Information
Primary practice address
90 Village At Glynn Pl
Brunswick GA 31525-1993
Phone: (912) 264-6000
Fax: (912) 264-6080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2249 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002249 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4033 | Florida |
Profile Details
| NPI number | 1528145257 |
|---|---|
| LBN Legal business name | Koss, Gerald W. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jan 8th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528145257 | NPPES |
| Georgia | MEDICAID | 959951220A | |
| Georgia | MEDICAID | 959951220B |
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