NICOLE F KOBA OD
NPI 1558461012
Optometrist in Washington, DC

Q: What is Nicole Koba's NPI number?

The NPI number for Nicole Koba is 1558461012. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Nicole Koba's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Koba was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment

2100 PENNSYLVANIA AVE NW, 4TH FLOOR, WASHINGTON, DC 20037(202) 529-5200(202) 269-3462 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole F Koba Od NPPES

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

NICOLE F KOBA OD (NPI 1558461012) is an individual optometrist in Washington, District Of Columbia, licensed in District Of Columbia (7621000632) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1988).

NPPES Registry Identity

NPI1558461012

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameNICOLE F KOBACredential: OD

Location Address2100 PENNSYLVANIA AVE NW, 4TH FLOORWashington, DC 20037-3202

Mailing Address2100 Pennsylvania Ave Nw, 4th FloorWashington, DC 20037-3202 · (202) 872-7247 · Fax (202) 872-7296

Phone(202) 529-5200

Fax(202) 269-3462

Sole ProprietorNo

Medical School CMSPennsylvania College Of OptometryGraduated 1988

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJune 2, 2021

NPPES CertifiedJune 2, 2021

✔ NPI 1558461012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in DC · 7621000632✔ Licensed in MD · DA1177

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.

2100 PENNSYLVANIA AVE NW, Washington, DC 20037

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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 and accepts Medicare assignment

Nicole F Koba Od 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 ID1153212386

PECOS Enrollment IDI20040324001274

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 2

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.

50 services49 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

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Other Providers at the Same Location NPPES 13

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

SARAH LYNN WITTE AU.D.

Audiologist

2100 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037

District of Columbia (202) 872-7000

DR. ERNEST C WYNNE M.D.

Obstetrics & Gynecology

2100 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037

District of Columbia (202) 872-7269

JANTINA VANDERLINDE MD MPH

Family Medicine

2100 PENNSYLVANIA AVE NW, KAISER PERMANENTE WEST END MEDICAL CENTER
WASHINGTON, DC 20037

District of Columbia (703) 237-4000

DR. SILVIA PICCIAFUOCO MD

Internal Medicine

2100 PENNSYLVANIA AVE NW, KAISER PERMANENTE
WASHINGTON, DC 20037

District of Columbia (202) 872-7176

MARY LYNN FARIVARI RD

Dietitian, Registered

2100 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037

District of Columbia (202) 872-7055

MS. AUDREY B HARRIS CRNP

Nurse Practitioner

2100 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037

District of Columbia (202) 872-7298

MS. MARY ELIZABETH FLOURNOY MSW

Social Worker (Clinical)

2100 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037

District of Columbia (202) 721-2145

DR. AMY LYNNE BANULIS MD

Obstetrics & Gynecology

2100 PENNSYLVANIA AVE NW, WEST END MEDICAL CENTER
WASHINGTON, DC 20037

District of Columbia (202) 872-7000

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 Nicole Koba's NPI number?

The NPI number for Nicole Koba is 1558461012. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Nicole Koba located?

Nicole Koba practices at 2100 Pennsylvania Ave NW 4th Floor, Washington, DC 20037. The listed phone number is (202) 529-5200.

What is Nicole Koba's specialty?

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

Is Nicole Koba enrolled in Medicare?

Yes. Nicole Koba 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.

When was this NPI record last updated?

The NPPES record for Nicole Koba was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.