Kruszewski Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003613 Issued in MI

Legal business name

KRUSZEWSKI OPTOMETRY, PLLC

Practice address

15175 S Dixie Hwy
Monroe, MI 48161-5038

Phone

(734) 243-0370

Fax

(734) 243-2803

NPI assigned

Sep 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John A Kruszewski, O.D.

Title

President

Phone

(734) 243-0370

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kylee Kay Kleppinger, O.D.

  • Optometrist
  • Toledo, OH
  • NPI 1598052896

  MI

  Medicare reassignment Care Compare group NPD
• Tia Marie Tucker, O.D.

  • Optometrist
  • Toledo, OH
  • NPI 1134434350

  MI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1043612435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15175 S DIXIE HWY",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481615038",
            "telephone_number": "734-243-0370",
            "fax_number": "734-243-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15175 S DIXIE HWY",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481615038",
            "telephone_number": "734-243-0370",
            "fax_number": "734-243-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUSZEWSKI OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "KRUSZEWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-243-0370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris Karwowski
• Kroger Co of Michigan
• Kroger Co of Michigan
• Jama Ann Krueger, CRNA
• Rachel Krug
• Cathy S Krzyske, SPEECH THERAPIST
• Roger T Kucway, MD
• Christine Kuhl
• Ashley Lynn Kull
• Dennis W Kulpa, PHD

• Optometrist in Monroe, MI
• Providers in Monroe, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.