Stefanos Kotsokalis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2457 Issued in NC

Practice address

15640 Don Lochman LN Ste C
Charlotte, NC 28277-4442

Phone

(704) 943-5110

NPI assigned

Jun 20, 2016

Last updated

Aug 23, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Corte and Wruble, OD, PLLCGroup PAC ID 5294002689, 15 clinicians

Ryan Leblanc OD PLLCGroup PAC ID 4981014164, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Corte and Wruble, OD, PLLC

  dba Northlake Eye

  • Optometrist
  • Charlotte, NC
  • NPI 1821529249
  Medicare reassignment Care Compare group NPD
• Ryan Leblanc OD PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1992055966
  Medicare reassignment Care Compare group NPD
• Accuvision Eye Care OD, PA

  • Optometrist
  • Gastonia, NC
  • NPI 1174850168
  Medicare reassignment NPD

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1073963112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BRENNER AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 DON LOCHMAN LN STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774442",
            "telephone_number": "704-943-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTSOKALIS",
        "first_name": "STEFANOS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leena Chacko Koshy, PA-C
• Ezekial Joseph Koslosky, MD
• Maria A Kosuda, SP
• Jamnadas Mahidas Kothadia, MD
• Christine Kotouch, CRNA
• Andrew Edward Kott, MD
• Michelle Kott, CNM
• Christelle Pouani Kouemo
• Edward W. Kouri, M.D.
• Peggy Kouri, CRNA

• Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.