Individual provider Active NPI

Madelyn Ann Owczarzak Kowal, OD

  • Optometrist
  • East Lansing, MI
National Provider Identifier
1124912027
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005873 Issued in MI
Practice address
2001 Coolidge Rd
East Lansing, MI 48823-1378
Phone
(517) 337-1668
Fax
(517) 337-1779
NPI assigned
Jun 5, 2025
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005873 MI Primary

Addresses

Primary practice location

2001 Coolidge Rd
East Lansing, MI 48823-1378

Mailing address

2001 Coolidge Rd
East Lansing, MI 48823-1378
Phone (517) 337-1668

Other names 1

  • Madelyn Ann Kowal Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250619000403 MI Practitioner - Optometry 7517478126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lansing Ophthalmology, PCGroup PAC ID 9335041409, 25 clinicians

Practice addresses (Care Compare)

2001 Coolidge Rd
East Lansing, MI 48823-1378
Phone (517) 337-1668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005873MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lansing Ophthalmology, P.C. Optometrist CurrentSince Jun 12, 2025 Accepting new patients
Lansing Ophthalmology, P.C. Optometrist CurrentSince Jun 12, 2025 Accepting new patients
Lansing Ophthalmology, PC Optometrist Past Accepting new patients

Locations

3600 Capital Ave SW
Ste 203
Battle Creek, MI 49015
Phone (269) 979-6383

2001 Coolidge Rd
East Lansing, MI 48823
Phone (517) 337-0316

2001 Coolidge Rd
#L
East Lansing, MI 48823
Phone (517) 337-1668

1005 Charlevoix Dr
Ste 100
Grand Ledge, MI 48837

1005 Charlevoix Dr
Ste 200
Grand Ledge, MI 48837
Phone (517) 627-3030

2790 W Grand River Ave
Ste 200
Howell, MI 48843
Phone (517) 548-3382

1535 E Broomfield St
Mt Pleasant, MI 48858
Phone (989) 772-3339

1535 E Broomfield St
Ste A
Mt Pleasant, MI 48858
Phone (517) 772-3339

5100 Marsh Rd
Ste H
Okemos, MI 48864
Phone (517) 349-0150

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: madelyn.kowal.p1@direct.lansingophthalmology.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1124912027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231378",
            "telephone_number": "517-337-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231378",
            "telephone_number": "517-337-1668",
            "fax_number": "517-337-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWCZARZAK KOWAL",
        "first_name": "MADELYN",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELYN",
            "last_name": "KOWAL",
            "middle_name": "ANN",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.