Organization Active NPI

Kaizen Eyecare

  • Optometrist
  • Doylestown, PA
National Provider Identifier
1275809287
Registry record updated Mar 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000925 Issued in PA
Legal business name
KAIZEN EYECARE
Practice address
10 S Clinton St
Suite 200
Doylestown, PA 18901-4220
Phone
(215) 348-8030
Fax
(215) 348-8030
NPI assigned
Mar 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2012

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

Authorized official

Name
Dr. Stephen G Kaizen, O. D.NPI 1083675789
Title
Optometrist
Phone
(215) 348-8030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000925 PA Primary

Addresses

Primary practice location

10 S Clinton St
Suite 200
Doylestown, PA 18901-4220

Mailing address

10 S Clinton St
Suite 200
Doylestown, PA 18901-4220
Phone (215) 348-8030

Other identifiers 1

IdentifierTypeStateIssuer
0115693760MedicaidPA

National Provider Directory

National Provider Directory

Locations

10 S Clinton St
Ste 200
Doylestown, PA 18901
Phone (215) 345-6252

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332547200000",
    "number": "1275809287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S CLINTON ST",
            "address_2": "SUITE 200",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014220",
            "telephone_number": "215-348-8030",
            "fax_number": "215-348-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S CLINTON ST",
            "address_2": "SUITE 200",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014220",
            "telephone_number": "215-348-8030",
            "fax_number": "215-348-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIZEN EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-24",
        "last_updated": "2012-03-24",
        "status": "A",
        "authorized_official_last_name": "KAIZEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "215-348-8030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115693760",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.