Diana Lowry Koslowske, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003577 Issued in MI

Practice address

511 Wilson Ave NW
Suite G
Grand Rapids, MI 49534-7986

Phone

(616) 301-8663

Fax

(616) 301-2987

NPI assigned

Sep 14, 2005

Sex

Female

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 2

Other names 1

• Dr. Diana Lowry Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Practice roles

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.

• Chad J. Jackson, OD, PLLC

  • Optometrist
  • Rockford, MI
  • NPI 1477730919
  NPD (past)
• Freewill Inc

  • Optometrist
  • Grand Rapids, MI
  • NPI 1457421109
  NPD (past)
• Rockford Family Eyecare, LLC

  • Optometrist
  • Rockford, MI
  • NPI 1477960813
  NPD (past)
• Rockford Vision Therapy LLC

  • Health Service Clinic/Center
  • Rockford, MI
  • NPI 1841957339
  NPD (past)
• W Optical Services LLC

  • Optometrist
  • Grand Rapids, MI
  • NPI 1689202848
  NPD (past)
• W. Optical 4 LLC

  • Optician
  • Wyoming, MI
  • NPI 1275045916
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1053306274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WILSON AVE NW",
            "address_2": "SUITE G",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495347986",
            "telephone_number": "616-301-8663",
            "fax_number": "616-301-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WILSON AVE NW",
            "address_2": "SUITE G",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495347986",
            "telephone_number": "616-301-8663",
            "fax_number": "616-301-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSLOWSKE",
        "first_name": "DIANA",
        "middle_name": "LOWRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "203516664",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900D115230",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "LOWRY",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison J Koshen, CCC-SLP
• Stephen J Kosiara, OTR
• Mathew Kosik, LMSW, CAADC
• Tyler Douglas Kosik, PHARMD
• Andrea Darlene Koski, LMSW, QIDP
• Kaylee Koslowske
• Michelle C Kosovec, M.D.
• Andrew Ernst Kossek
• John Michael Kosta, M.D.
• Kathryn Kostal, LLPC

• All providers in Grand Rapids, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.