PHILLIP A. KOHANOV O.D. PC
NPI 1821279159
Optometrist in Fort Gratiot, MI

Q: What is Phillip A. Kohanov O.D. PC's NPI number?

The NPI number for Phillip A. Kohanov O.D. PC is 1821279159. It was assigned to this organization in the NPPES registry on November 15, 2007.

Q: What is Phillip A. Kohanov O.D. PC's specialty?

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

Active since November 15, 2007

3833 24TH AVE, FORT GRATIOT, MI 48059(810) 985-5600(810) 985-5740 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Phillip A. Kohanov O.d. Pc NPPES

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

PHILLIP A. KOHANOV O.D. PC (NPI 1821279159) is a healthcare organization registered as an optometrist in Fort Gratiot, Michigan and active in the NPI registry since November 2007. The organization lists Phillip A. Kohanov, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1821279159

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePHILLIP A. KOHANOV O.D. PC

Location Address3833 24TH AVEFort Gratiot, MI 48059-4100

Mailing Address3833 24th AveFort Gratiot, MI 48059-4100 · (810) 985-5600 · Fax (810) 985-5740

Phone(810) 985-5600

Fax(810) 985-5740

Organization SubpartNo

Authorized OfficialPhillip A. KohanovOptometrist · (810) 985-5600

Enumeration DateNovember 15, 2007

Last NPPES UpdateJune 5, 2012

✔ NPI 1821279159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

3833 24TH AVE, Fort Gratiot, MI 48059

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Other Identifiers 4

Other900G465140Blue Cross Blue Shield

Other1038350001Region B Dmerc

Medicare PIN0G46514

Medicare UPINU29926

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 Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip A. Kohanov O.d. Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMichiganEnrollment IDO20110214000270Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phillip A. Kohanov O.D. PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Phillip Kohanov, O.D.

Optometry

NPI 1184615742

3833 24TH AVE
Fort Gratiot, MI 48059

(810) 985-5600

✔ PECOS✔ Accepts MedicareSame address

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 Phillip A. Kohanov O.D. PC's NPI number?

The NPI number for Phillip A. Kohanov O.D. PC is 1821279159. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Phillip A. Kohanov O.D. PC located?

Phillip A. Kohanov O.D. PC is located at 3833 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (810) 985-5600.

What is Phillip A. Kohanov O.D. PC's specialty?

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

Is Phillip A. Kohanov O.D. PC enrolled in Medicare?

Yes. Phillip A. Kohanov O.D. PC is registered in the Medicare PECOS enrollment system.

When is Phillip A. Kohanov O.D. PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Phillip A. Kohanov O.D. PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Phillip A. Kohanov O.D. PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Phillip A. Kohanov O.D. PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company list Phillip A. Kohanov O.D. PC 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 Phillip A. Kohanov O.D. PC was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.