Kevin J Krajewski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2107 Issued in CO

Practice address

12810 W Alameda Pkwy
Suite B
Lakewood, CO 80228-3116

Phone

(303) 986-5565

Fax

(303) 984-2111

NPI assigned

Jul 22, 2006

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 CO

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foothills Vision Center, PCGroup PAC ID 9234122219, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Foothills Vision Center, PC

  • Optometrist
  • Lakewood, CO
  • NPI 1790996379

  CO, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• I Care Vision Centers, PC

  • Eyewear Supplier
  • Denver, CO
  • NPI 1407024003

  Optometrist

  NPD (past)
• I Care Vision Centers,PC

  • Optometrist
  • Denver, CO
  • NPI 1508913161
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1114948247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 W ALAMEDA PKWY",
            "address_2": "SUITE B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283116",
            "telephone_number": "303-986-5565",
            "fax_number": "303-984-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 W ALAMEDA PKWY",
            "address_2": "SUITE B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283116",
            "telephone_number": "303-986-5565",
            "fax_number": "303-984-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAJEWSKI",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Edgar Kowalski, MD
• Caitlin Kozicki
• KPB Anesthesia, LLC
• Emma Kraby, MA, LPCC
• Briana Krajewski, RPT
• Paul Krakauskas, RPH
• Kim Aline Kramer, APRN,BC (FNP)
• Lindsey Kramer, PT, DPT
• Ryan Kramer, MD
• Jasmine Krapf

• All providers in Lakewood, CO
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.