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

Nicole F Koba, OD

Individual provider Optometrist · NPI 1558461012

Nicole F Koba, OD is an Optometry in Washington, District of Columbia. Graduated from Pennsylvania College of Optometry in 1988, 38 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Maryland.

Years since qualifying
38
Trained at
Pennsylvania College of Optometry
Licensed in
DC, MD
In the registry since
2006
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

2100 Pennsylvania Ave NW 4th Fl
Washington, DC 20037-3202
Phone: (202) 529-5200
Fax: (202) 269-3462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 7621000632 (DC)
Optometrist Taxonomy 152W00000X · Licence DA1177 (MD)

Record details

NPI number1558461012
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 1988 (38 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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