Dr. Makayla Mary Koochou, OD
Optometrist in San Francisco, CA. Individual provider (NPI-1).
NPI number1124949201
StatusActive
Last updated in NPPESJul 23, 2026
Details
- NPI
- 1124949201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Makayla Mary Koochou
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2026
- Certification date
- Jul 23, 2026
- Last updated
- Jul 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 36353 | CA | Yes |
Practice location
1907 Fillmore StSan Francisco, CA 94115-2706
Phone 415-563-9003 · Fax 415-563-9006
Mailing address
1907 Fillmore StSan Francisco, CA 94115-2706
Phone 209-640-8590
Other practice locations
2786 Diamond St
San Francisco, CA 94131-3057
San Francisco, CA 94131-3057
Phone 415-334-2020
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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