Individual provider Active NPI

Clifton Joseph Kochinsky, OPTICIAN

  • Optician
  • Houston, TX
National Provider Identifier
1114061066
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
29567 Issued in TX
Practice address
5600 Mykawa Rd
Houston, TX 77033-1045
Phone
(713) 242-9050
Fax
(713) 242-9096
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 29567 TX Primary

Addresses

Primary practice location

5600 Mykawa Rd
Houston, TX 77033-1045

Mailing address

5600 Mykawa Rd
Houston, TX 77033-1045
Phone (713) 645-7165

Other identifiers 1

IdentifierTypeStateIssuer
0661696-01MedicaidTX

Other names 1

  • Clifton Joseph Kochinsky Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29567TXMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Save Optical Inc Optician Current Accepting new patients

Locations

5600 Mykawa Rd
Houston, TX 77033
Phone (713) 242-9050

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1114061066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 MYKAWA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770331045",
            "telephone_number": "713-645-7165",
            "fax_number": "713-242-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MYKAWA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770331045",
            "telephone_number": "713-242-9050",
            "fax_number": "713-242-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHINSKY",
        "first_name": "CLIFTON",
        "middle_name": "JOSEPH",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "29567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0661696-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLIFTON",
            "last_name": "KOCHINSKY",
            "middle_name": "JOSEPH",
            "credential": "OPTICIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.