Active NPI
Craig Czyz, D.O.
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 34.009294
- Practice address
- 21178 Olean Blvd
Port Charlotte, FL 33952-6728 - Phone
- (941) 629-1090
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 58-001590 | OH | |
| Ophthalmology Physician | 207W00000X | OS10225 | FL | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | OS10225 | FL | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 34.009294 | OH | Primary |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | OS014584 | PA | |
| Ophthalmology Physician | 207W00000X | OS014584 | PA |
Addresses
Primary practice location
21178 Olean Blvd
Port Charlotte, FL 33952-6728
Mailing address
1100 Oregon Ave
Columbus, OH 43201-3371
Phone (614) 395-5644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Philadelphia College of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1100 Oregon Ave
Columbus, OH 43201-3371
Phone (614) 395-5644
Hospital & facility affiliations
- Grant Medical Center
- Mount Carmel St Ann'S
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58-001590 | OH | MD | Ophthalmology Physician |
| OS014584 | PA | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Family Eyecare Center | Past | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
262 Neil Ave
Ste 430
Columbus, OH 43215
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Optometrist
- Port Charlotte, FL
- NPI 1386782506
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westerville, OH
- NPI 1417037045
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1205043684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 OREGON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432013371",
"telephone_number": "614-395-5644",
"fax_number": "614-297-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21178 OLEAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526728",
"telephone_number": "941-629-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZYZ",
"first_name": "CRAIG",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "58-001590",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "OS10225",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "FL",
"license": "OS10225",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "OH",
"license": "34.009294",
"primary": true
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "PA",
"license": "OS014584",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "OS014584",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.