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MICHELLE KOO OD
NPI 1467930479
Optometrist in California, MD

Active since August 01, 2018PECOS Enrolled
45485 MIRAMAR WAY, CALIFORNIA, MD 20619(240) 434-1907 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2019, Aug 1, 2018 (2 updates tracked since 2018).

About Michelle Koo Od NPPES

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

MICHELLE KOO OD (NPI 1467930479) is an individual optometrist in California, Maryland, licensed in Maryland (TA2705) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467930479
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMICHELLE KOOCredential: OD
Location Address45485 MIRAMAR WAYCalifornia, MD 20619-3191
Mailing Address45485 Miramar WayCalifornia, MD 20619-3191 · (240) 434-1907
Phone(240) 434-1907
Sole ProprietorNo
Enumeration DateAugust 1, 2018
Last NPPES UpdateJune 30, 20232 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
✔ NPI 1467930479 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 MD · TA2705
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.
45485 MIRAMAR WAY, California, MD 20619
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Koo Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20619 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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 4

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

WAL-MART STORES EAST LP
Pharmacy
45485 MIRAMAR WAY
CALIFORNIA, MD 20619
St. Mary's County (301) 737-0611
ELFREDA U EKWUNIFE
Pharmacist
45485 MIRAMAR WAY
CALIFORNIA, MD 20619
St. Mary's County (301) 737-0611
WAL-MART STORES EAST, LP
Eyewear Supplier
45485 MIRAMAR WAY
CALIFORNIA, MD 20619
St. Mary's County (301) 737-4420
CHA-CHI REN
Pharmacist
45485 MIRAMAR WAY
CALIFORNIA, MD 20619
St. Mary's County (301) 737-0611

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 Michelle Koo's NPI number?

The NPI number for Michelle Koo is 1467930479. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Where is Michelle Koo located?

Michelle Koo practices at 45485 Miramar Way, California, MD 20619. The listed phone number is (240) 434-1907.

What is Michelle Koo's specialty?

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

Is Michelle Koo enrolled in Medicare?

Yes. Michelle Koo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Koo was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.