Soungwook Koh
Technician/Technologist, Optician in Aurora, CO. Individual provider (NPI-1).
NPI number1881418754
StatusActive
Last updated in NPPESNov 8, 2024
Details
- NPI
- 1881418754
- Entity type
- Individual (NPI-1)
- Name
- Soungwook Koh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2024
- Certification date
- Nov 8, 2024
- Last updated
- Nov 8, 2024
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 |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | CO | Yes |
Practice location
2030 S Havana StAurora, CO 80014-1014
Phone 720-822-0700
Mailing address
6324 S Walden CtAurora, CO 80016-1169
Phone 720-822-0700
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