Individual provider Active NPI

Katarina Jenelle Kozer, OD

  • Optometrist
  • Montrose, NY
National Provider Identifier
1063304178
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011200 Issued in NY
Practice address
2094 Albany Post Rd
Montrose, NY 10548-1454
Phone
(914) 737-4400
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011200 NY Primary

Addresses

Primary practice location

2094 Albany Post Rd
Montrose, NY 10548-1454

Mailing address

17 Fifth Ave Apt 54
Pelham, NY 10803-1561
Phone (570) 367-9718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

234 Broadway
FL 3
Brooklyn, NY 11211-6203

6326 New Utrecht Ave
Brooklyn, NY 11219-5424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1063304178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FIFTH AVE APT 54",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031561",
            "telephone_number": "570-367-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 ALBANY POST RD",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "105481454",
            "telephone_number": "914-737-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZER",
        "first_name": "KATARINA",
        "middle_name": "JENELLE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, NY

Sources for this page

Verify at the official NPI Registry.