Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gage Michael Koon, OD

Individual provider Optometrist · NPI 1508791369

Dr. Gage Michael Koon, OD is an Optometry in Granger, Indiana. Graduated from Indiana University - School of Optometry in 2025, 1 year ago. Licensed in Indiana.

Years since qualifying
1
Trained at
Indiana University - School of Optometry
Licensed in
IN
In the registry since
2026
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

13197 State Road 23
Granger, IN 46530-9225
Phone: (574) 247-1500
Fax: (574) 247-1505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 18004649A (IN)

Record details

NPI number1508791369
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address13197 State Road 23, Granger, IN 46530-9225

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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