Kevin Alexander Koralewski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

797 Issued in AZ

Practice address

2605 E Manchester St
Tucson, AZ 85716-5319

Phone

(520) 795-0336

Fax

(520) 327-5144

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• K Koralewski LLC Professional name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey Lewis, O.D

  • Corneal and Contact Management Optometrist
  • Tucson, AZ
  • NPI 1942261789
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1033248943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 E MANCHESTER ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165319",
            "telephone_number": "520-795-0336",
            "fax_number": "520-327-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 E MANCHESTER ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165319",
            "telephone_number": "520-795-0336",
            "fax_number": "520-327-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORALEWSKI",
        "first_name": "KEVIN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z134279",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K",
            "last_name": "LLC",
            "middle_name": "KORALEWSKI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Kopp
• Matthew Koppinger, OD
• Pallavi Reddy Koppolu, MD
• Carol Kopsco, L.C.S.W.
• Hannah Korah
• Sophia Korb
• Kords Metro Service Inc
• Elaine Kornfeld
• Kathryn Kornman, LPC
• Debra Kornmuller, RN

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.