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DR. PHILLIP A KOHANOV O.D.
NPI 1184615742
Optometrist in Fort Gratiot, MI

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
3833 24TH AVE, FORT GRATIOT, MI 48059(810) 985-5600(910) 985-5740 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Phillip A Kohanov O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP A KOHANOV O.D. (NPI 1184615742) is an individual optometrist in Fort Gratiot, Michigan, licensed in Michigan (4901003217) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1986).

NPPES Registry Identity

NPI1184615742
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PHILLIP A KOHANOVCredential: O.D.
Location Address3833 24TH AVEFort Gratiot, MI 48059-4100
Mailing Address3833 24th AveFort Gratiot, MI 48059-4100 · (810) 985-5600 · Fax (910) 985-5740
Phone(810) 985-5600
Fax(910) 985-5740
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 1986
Enumeration DateNovember 2, 2005
Last NPPES UpdateJune 6, 2012
✔ NPI 1184615742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901003217
Definition
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.
3833 24TH AVE, Fort Gratiot, MI 48059
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Other Identifiers 4

Other1038350001MI · Region B Dmerc
Medicare UPINU29926MI
Other900G465140MI · Blue Cross Blue Shield
Medicare ID-Type Unspecified0G46514MI · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Phillip A Kohanov O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981884681
PECOS Enrollment IDI20110214000294
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48059 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIP A. KOHANOV O.D. PC
Optometrist
3833 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Kohanov's NPI number?

The NPI number for Phillip Kohanov is 1184615742. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Phillip Kohanov located?

Phillip Kohanov practices at 3833 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (810) 985-5600.

What is Phillip Kohanov's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Phillip Kohanov enrolled in Medicare?

Yes. Phillip Kohanov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Phillip Kohanov accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Phillip Kohanov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phillip Kohanov was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.