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

Traci Lynne Kohm, OD

Individual provider Optometrist · NPI 1053455295

Traci Lynne Kohm, OD is an Optometry in St. Louis, Missouri. Graduated from University of Missouri St Louis - School of Optometry in 2006, 20 years ago. Licensed in Missouri.

Years since qualifying
20
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO
In the registry since
2007
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

9549 Watson Rd
St. Louis, MO 63126
Phone: (314) 651-3883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2006017275 (MO)

Record details

NPI number1053455295
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 19, 2007
Last updated in NPPESNovember 27, 2023
Certification dateJuly 15, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated

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