Christopher Kowalski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005000 Issued in MI

Practice address

1235 S Center Rd
Suite 16
Burton, MI 48509-1700

Phone

(810) 744-1950

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By 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 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

Specialty

Optometry

Education

Southern College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nichols Optical IncGroup PAC ID 2466447966, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Nichols Optical Inc

  • Optometrist
  • Traverse City, MI
  • NPI 1679558712
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1104379452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 S CENTER RD",
            "address_2": "SUITE 16",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091700",
            "telephone_number": "810-744-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 S CENTER RD",
            "address_2": "SUITE 16",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091700",
            "telephone_number": "810-744-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "CHRISTOPHER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jannifer A Kincaid, OTR/L
• Kaitlyn Marie King
• Tamara Denise Knuckles
• Whitney Rayne Kononchuk
• Audrey Lynn Koresh, MA, BCBA
• Clarissa Kroese, DO
• Kroger Co of Michigan (Kroger Pharmacy)
• Richard Labaere II, D.O.
• Gerald L Larson, DO
• Kimberly Lasle

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.