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

Nicholas Leo Koshuta, OD

Individual provider Optometrist · NPI 1992701494

Nicholas Leo Koshuta, OD is an Optometry in Prescott Valley, Arizona. Graduated from Pennsylvania College of Optometry in 2001, 25 years ago. Practices with Flagstaff Eye Care PLLC, a 2-clinician group. Licensed in Arizona.

Years since qualifying
25
Trained at
Pennsylvania College of Optometry
Licensed in
AZ
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

2820 N Glassford Hill Rd Ste 101
Prescott Valley, AZ 86314-2256
Phone: (928) 775-5606
Fax: (928) 772-4999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1264 (AZ)

Record details

NPI number1992701494
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2001 (25 years in practice)
Group practice Flagstaff Eye Care Pllc — 2 clinicians
Accepts Medicare assignment Not indicated

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