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BRUCE M KOCH OD
NPI 1720031529
Optometrist in Prairie Du Sac, WI

Active since May 19, 2006
1110 PRAIRIE ST, PRAIRIE DU SAC, WI 53578(608) 643-3333(608) 644-3852 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce M Koch Od NPPES

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

BRUCE M KOCH OD (NPI 1720031529) is an individual optometrist in Prairie Du Sac, Wisconsin, licensed in Wisconsin (1322-035) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1720031529
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRUCE M KOCHCredential: OD
Location Address1110 PRAIRIE STPrairie Du Sac, WI 53578-2044
Mailing Address1110 Prairie StPrairie Du Sac, WI 53578-2044 · (608) 643-3333 · Fax (608) 644-3852
Phone(608) 643-3333
Fax(608) 644-3852
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateApril 11, 2011
✔ NPI 1720031529 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 WI · 1322-035
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.
1110 PRAIRIE ST, Prairie Du Sac, WI 53578
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Other Identifiers 6

Medicare UPINT62451
Medicare PIN410046716WI
Other947WI · Dean Health Insurance
Medicaid38567400WI
Medicare PIN001447805WI
Other1006588WI · Physicians Plus

Other Providers at the Same Location NPPES 2

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

DEAN HEALTH SYSTEMS, INC.
Durable Medical Equipment & Medical Supplies
1110 PRAIRIE ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-3333
GARY J LUNDGREN OD
Optometrist
1110 PRAIRIE ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-3333

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 Bruce Koch's NPI number?

The NPI number for Bruce Koch is 1720031529. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Bruce Koch located?

Bruce Koch practices at 1110 Prairie St, Prairie Du Sac, WI 53578. The listed phone number is (608) 643-3333.

What is Bruce Koch's specialty?

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

When was this NPI record last updated?

The NPPES record for Bruce Koch was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.