NPIMap

Organization Active NPI

Peter J Kazanovicz

Doing business as Studley Ocular Laboratories

  • Prosthetic/Orthotic Supplier
  • Bedford, NH
National Provider Identifier
1245413038
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PETER J KAZANOVICZ
Doing business as
Studley Ocular Laboratories
Practice address
169 S River Rd
Unit 14a
Bedford, NH 03110-6971
Phone
(603) 622-5200
Fax
(603) 644-2354
NPI assigned
Dec 14, 2007
Last updated
Jun 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Mr. Peter J Kazanovicz, B.C.O.NPI 1154429736
Title
Board Certified Ocularist/Owner
Phone
(603) 622-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

169 S River Rd
Unit 14a
Bedford, NH 03110-6971

Mailing address

169 S River Rd
Unit 14a
Bedford, NH 03110-6971
Phone (603) 622-5200

Other identifiers 3

IdentifierTypeStateIssuer
800002286MedicaidNH
141840000MedicaidME
1530330MedicaidMA

Other names 1

  • STUDLEY OCULAR LABORATORIES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1245413038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 S RIVER RD",
            "address_2": "UNIT 14A",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106971",
            "telephone_number": "603-622-5200",
            "fax_number": "603-644-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 S RIVER RD",
            "address_2": "UNIT 14A",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106971",
            "telephone_number": "603-622-5200",
            "fax_number": "603-644-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J KAZANOVICZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "KAZANOVICZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BOARD CERTIFIED OCULARIST/OWNER",
        "authorized_official_telephone_number": "603-622-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800002286",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141840000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530330",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STUDLEY OCULAR LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.