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FLAGSTAFF EYE CARE PLLC
NPI 1780711317
Optometrist in Flagstaff, AZ

Active since February 28, 2007
410 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001(928) 774-5093(928) 774-8321 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Flagstaff Eye Care Pllc NPPES

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

FLAGSTAFF EYE CARE PLLC (NPI 1780711317) is a healthcare organization registered as an optometrist in Flagstaff, Arizona and active in the NPI registry since February 2007. The organization lists Nicholas L. Koshuta, Owner, as its authorized official.

NPPES Registry Identity

NPI1780711317
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameFLAGSTAFF EYE CARE PLLC
Location Address410 N SAN FRANCISCO STFlagstaff, AZ 86001-4632
Mailing Address410 N San Francisco StFlagstaff, AZ 86001-4632 · (928) 774-5093 · Fax (928) 774-8321
Phone(928) 774-5093
Fax(928) 774-8321
Organization SubpartNo
Authorized OfficialNicholas L. KoshutaOwner · (928) 774-5093
Enumeration DateFebruary 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780711317 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 AZ · 80278971
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.
410 N SAN FRANCISCO ST, Flagstaff, AZ 86001
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Flagstaff Eye Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Flagstaff Eye Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jennifer Samuel, OD
Optometry
NPI 1891785564
940 N SWITZER CYN DR #101
Flagstaff, AZ 86001
(928) 774-7949
✔ PECOS0.4 mi
Nicholas Koshuta, O.D.
Optometry
NPI 1992701494
2820 N GLASSFORD HILL RD STE 101
Prescott Valley, AZ 86314
(928) 775-5606
✔ PECOS58 mi
Lawrence Richardson, O.D.
Optometry
NPI 1659314359
167 NORTH MAIN STREET
Tuba City, AZ 86045
(928) 283-2501
✔ PECOS69 mi

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

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 Flagstaff Eye Care PLLC's NPI number?

The NPI number for Flagstaff Eye Care PLLC is 1780711317. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Flagstaff Eye Care PLLC located?

Flagstaff Eye Care PLLC is located at 410 N San Francisco St, Flagstaff, AZ 86001. The listed phone number is (928) 774-5093.

What is Flagstaff Eye Care PLLC's specialty?

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

Is Flagstaff Eye Care PLLC enrolled in Medicare?

Yes. Flagstaff Eye Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Flagstaff Eye Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Flagstaff Eye Care PLLC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Flagstaff Eye Care PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Flagstaff Eye Care PLLC 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 Flagstaff Eye Care PLLC was last updated on August 22, 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.