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

Dr. Jared Koga, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649837568

Dr. Jared Koga, OD is an Optometry in Brockton, Massachusetts. Graduated from Southern California College of Optometry in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2019
Specialties on file
2
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

940 Belmont St
Brockton, MA 02301-5596
Phone: (508) 583-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT34339-TLG (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649837568
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 27, 2019
Last updated in NPPESDecember 8, 2021
Certification dateOctober 15, 2020
Mailing address1484 Via Latina Dr, Camarillo, CA 93012-9288

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2019 (7 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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