Dr. Maciej Z. Kowalski, O.D. Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12596T Issued in CA

Legal business name

DR. MACIEJ Z. KOWALSKI, O.D. INC.

Practice address

26672 Margarita Rd
Suite 305
Murrieta, CA 92563-2011

Phone

(951) 894-1515

Fax

(951) 894-1544

NPI assigned

Aug 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Maciej Kowalski, O.D.NPI 1982632188

Title

Optometrist/Owner

Phone

(951) 551-6531

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maciej Zbigniew Kowalski, OD

  • Optometrist
  • Murrieta, CA
  • NPI 1982632188
  NPD (past) Authorized official

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1144535949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28656 BAR HARBOR LN",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925912520",
            "telephone_number": "951-551-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26672 MARGARITA RD",
            "address_2": "SUITE 305",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632011",
            "telephone_number": "951-894-1515",
            "fax_number": "951-894-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MACIEJ Z. KOWALSKI, O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "MACIEJ",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "951-551-6531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12596T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ63477Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Lily Phillips MD Medical Group
• Dr Matthew J Gargulinski Inc
• Dr Rome Walter an Osteopathic Corporation
• Dr Sindu Pillai MD Inc
• Dr. Dhanesh R Pore DDS Inc
• Dr. Phillips Wound Care, Professional
• Dr. Robert Y. K. Ing, Inc.
• Dragonfly Remedy, LLC
• Jeffrey A Drayer, M.D.
• Jill Lori Drennon-Brady

• All providers in Murrieta, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.