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

Dr. Phillip A Kohanov, OD

Individual provider Optometrist · NPI 1184615742

Dr. Phillip A Kohanov, OD is an Optometry in Fort Gratiot, Michigan. Graduated from Ohio State University - College of Optometry in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
40
Trained at
Ohio State University - College of Optometry
Licensed in
MI
In the registry since
2005
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

3833 24th Ave
Fort Gratiot, MI 48059-4100
Phone: (810) 985-5600
Fax: (910) 985-5740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901003217 (MI)

Record details

NPI number1184615742
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 2, 2005
Last updated in NPPESJune 6, 2012

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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