Active NPI
Elza Leroy Kutch, OD
- Optometrist
- Caldwell, TX
National Provider Identifier
1285784397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1823
- Practice address
- 3431 County Rd 330
Caldwell, TX 77836 - Phone
- (979) 567-3420
- NPI assigned
- Jan 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1823 | TX | Primary |
Addresses
Primary practice location
3431 County Rd 330
Caldwell, TX 77836
Mailing address
PO Box 334
Caldwell, TX 77836
Phone (979) 567-3420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1823 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285784397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 334",
"city": "CALDWELL",
"state": "TX",
"postal_code": "77836",
"telephone_number": "979-567-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3431 COUNTY RD 330",
"city": "CALDWELL",
"state": "TX",
"postal_code": "77836",
"telephone_number": "979-567-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTCH",
"first_name": "ELZA",
"middle_name": "LEROY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "1823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.