AVA LOUISE KOCH OD
NPI 1275143075
Optometrist in Riverhead, NY

Active since August 06, 2020PECOS Enrolled
887 OLD COUNTRY RD STE G-KL, RIVERHEAD, NY 11901(631) 727-2858 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ava Louise Koch Od NPPES

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

AVA LOUISE KOCH OD (NPI 1275143075) is an individual optometrist in Riverhead, New York, licensed in New York (009217) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2020).

NPPES Registry Identity

NPI1275143075
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameAVA LOUISE KOCHCredential: OD
Location Address887 OLD COUNTRY RD STE G-KLRiverhead, NY 11901-2115
Mailing Address44 Roosevelt StGlen Head, NY 11545-1422 · (516) 236-8538
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2020
Enumeration DateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
✔ NPI 1275143075 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 NY · 009217
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.
887 OLD COUNTRY RD STE G-KL, Riverhead, NY 11901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ava Louise Koch Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628488152
PECOS Enrollment IDI20260203003808
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Ava Koch reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eyewear Supplier
1224 OSTRANDER AVENUE
Riverhead, NY 11901
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group
Optometrist
433 PLANDOME RD
Manhasset, NY 11030
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
Optometrist
6130A 190TH ST
Fresh Meadows, NY 11365
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
Optometrist
599 S FEDERAL HWY, SUITE 102
Dania Beach, FL 33004
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Ophthalmology
887 OLD COUNTRY RD STE G-KL
RIVERHEAD, NY 11901

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 Ava Koch's NPI number?

The NPI number for Ava Koch is 1275143075. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Ava Koch located?

Ava Koch practices at 887 Old Country Rd Ste G-Kl, Riverhead, NY 11901. The listed phone number is (631) 727-2858.

What is Ava Koch's specialty?

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

Is Ava Koch enrolled in Medicare?

Yes. Ava Koch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ava Koch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ava Koch reassigns Medicare benefits to 4 organizations: Sound Vision Care, Inc. (Riverhead, NY), Svc Of Manhasset LLC (Manhasset, NY), Svc Of Fresh Meadows LLC (Fresh Meadows, NY) and Midtown Eye Care, PA (Dania Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ava Koch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ava Koch accept?

Health plans from Anthem Blue Cross and Blue Shield, AvMed, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 12 other insurers list Ava Koch 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 Ava Koch was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.