Individual provider Active NPI

Katlyn A Kozell, OD

  • Optometrist
  • Wyomissing, PA
National Provider Identifier
1215894274
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004333 Issued in PA
Practice address
1300 Broadcasting Rd
Wyomissing, PA 19610-3220
Phone
(610) 396-9999
Fax
(610) 396-1488
NPI assigned
Jan 9, 2026
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004333 PA Primary

Addresses

Primary practice location

1300 Broadcasting Rd
Wyomissing, PA 19610-3220

Mailing address

1300 Broadcasting Rd
Wyomissing, PA 19610-3220
Phone (610) 396-9999

Other practice location 1

201 E Laurel Blvd
Pottsville, PA 17901-2534
Phone (570) 525-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260316003600 PA Practitioner - Optometry 6800379090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solomon C. Luo, MD, PCGroup PAC ID 8426955923, 12 clinicians

Practice addresses (Care Compare)

1300 Broadcasting Rd
Wyomissing, PA 19610-3220
Phone (570) 328-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG004333PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Solomon C. Luo, MD, PC CurrentSince Mar 1, 2026 Accepting new patients
Solomon C. Luo, MD, PC Optometrist CurrentSince Mar 1, 2026 Accepting new patients

Locations

201 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 328-4444

1300 Broadcasting Rd
Wyomissing, PA 19610
Phone (570) 328-4444

Organizations & group practices 2

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": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1215894274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BROADCASTING RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103220",
            "telephone_number": "610-396-9999",
            "fax_number": "610-396-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BROADCASTING RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103220",
            "telephone_number": "610-396-9999",
            "fax_number": "610-396-1488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Laurel Blvd",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179012534",
            "country_code": "US",
            "telephone_number": "570-525-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZELL",
        "first_name": "KATLYN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.