Active NPI
Neil David Kozol, O.D.
- Optometrist
- North Easton, MA
National Provider Identifier
1114942356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2922
- Practice address
- 20 Roche Bros Way
Suite 7
North Easton, MA 02356-1015 - Phone
- (508) 238-5200
- Fax
- (508) 238-5146
- NPI assigned
- Jul 12, 2006
- Last updated
- Mar 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2922 | MA | Primary |
Addresses
Primary practice location
20 Roche Bros Way
Suite 7
North Easton, MA 02356-1015
Mailing address
20 Roche Bros Way
Suite 7
North Easton, MA 02356-1015
Phone (508) 238-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040625000211 | MA | Practitioner - Optometry | 3971589516 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2922 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnstable Eye PC | Optometrist | Past | Accepting new patients |
| Bridgewater Goddard Park Medical Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Signature Medical Group
- Multi-Specialty Clinic/Center
- Brockton, MA
- NPI 1417932591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1114942356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ROCHE BROS WAY",
"address_2": "SUITE 7",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561015",
"telephone_number": "508-238-5200",
"fax_number": "508-238-5146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ROCHE BROS WAY",
"address_2": "SUITE 7",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561015",
"telephone_number": "508-238-5200",
"fax_number": "508-238-5146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZOL",
"first_name": "NEIL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Easton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.