Xenya Eve Kocylowsky, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP1000218 Issued in DC

Practice address

1919 14TH St NW
Unit B
Washington, DC 20009-4430

Phone

(202) 644-7500

NPI assigned

Feb 26, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1194140210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 14TH ST NW",
            "address_2": "UNIT B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094430",
            "telephone_number": "202-644-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 14TH ST NW",
            "address_2": "UNIT B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094430",
            "telephone_number": "202-644-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCYLOWSKY",
        "first_name": "XENYA",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000218",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "OP1000218",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broderick Moore Koch, MD
• Jessica Koch
• Timothy Richard Koch, M.D.
• Olga A Kochergina
• Suzanne Rossi Kochis, MD
• John Michael Koczela, LGSW
• Malady S Kodgi, M.D
• Zack Kodiyattu, MD
• Ndri Kodjane
• Esther Tweneboah Koduah, CSW

• Optometrist in Washington, DC
• Providers in Washington, DC by specialty
• Optometrist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.