Kkoralewski LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

797 Issued in AZ

Legal business name

KKORALEWSKI LLC

Practice address

2605 E Manchester St
Tucson, AZ 85716-5319

Phone

(520) 795-0336

Fax

(520) 327-5144

NPI assigned

Nov 25, 2009

Last updated

Oct 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Alexander Koralewski, ODNPI 1033248943

Title

President

Phone

(520) 795-0336

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, and the practitioner matching its NPPES authorized official.

• Kevin Alexander Koralewski, O.D.

  • Optometrist
  • Tucson, AZ
  • NPI 1033248943
  Authorized official Same address or phone

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1184952434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 E MANCHESTER ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165319",
            "telephone_number": "520-795-0336",
            "fax_number": "520-327-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 E MANCHESTER ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165319",
            "telephone_number": "520-795-0336",
            "fax_number": "520-327-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKORALEWSKI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "KORALEWSKI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-795-0336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z134279",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Kaye Kittrell, DPT
• Irene R Kitzman, MD
• Karlie Anne Kitzman
• Ella Kiwala
• Arturo Kiyama
• Stefan Klabes, RPH
• Justin George Klasky
• Patrick Michael Klass, PT, DPT
• Richard L Klassen, M.D.
• Allison Marie Klatt, FNP-BC

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.