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

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: August 02, 2026.

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.Insurance ›

Other Providers at the Same Location NPPES

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

DR. PHILLIP A KOHANOV O.D.
Optometrist
3833 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5600

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.

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

Health plans from Blue Cross Blue Shield of Michigan Mutual 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.