DR. FRED KODESCH M.D. NPI 1407820178

NPI Information

  • NPI: 1407820178
  • Provider Name: DR. FRED KODESCH, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • Address: 4300 GARDEN ST
    TITUSVILLE, FL
    ZIP 32796
  • Phone: (321) 267-2001

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NPI Details

DR. Fred Kodesch, M.D. is an ophthalmology in Titusville, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Fred Kodesch, M.D. NPI is 1407820178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4300 GARDEN ST
TITUSVILLE, FL
ZIP 32796-937
Phone: (321) 267-2001
Fax: (321) 267-0628

The enumeration date for this NPI number is 2/17/2006 and was last updated on 11/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyME0049056FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A24614MEDICARE UPINFLORIDA
202199MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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