Jeffrey Kozal, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

971 Issued in NE

Practice address

4919 2ND Ave
Kearney, NE 68847-2482

Phone

(308) 237-7693

Fax

(308) 237-2948

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffery.kozal@uprisedirect.com

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.

• Exact Eye Care, Inc

  • Optometrist
  • Kearney, NE
  • NPI 1205216207
  Medicare reassignment NPD Authorized official
• TKC Optical, Inc

  • Eyewear Supplier
  • Kearney, NE
  • NPI 1124172390
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326192592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 AVENUE O",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688471529",
            "telephone_number": "308-234-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472482",
            "telephone_number": "308-237-7693",
            "fax_number": "308-237-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAL",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NE0971",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendee D Koster, PA C
• Tanner James Kovacs, DO
• Kowalski Chiropractic Health & Performance LLC
• Paula Kowalski, D.C.
• Tyler James Kowalski, D.C.
• Nicole Lynne Krantz
• Victoria Renee Kranz, PT, DPT
• Whitney Kreutzer
• Kelsey Krieger
• Michele A Krieger, MD

• Optometrist in Kearney, NE
• Providers in Kearney, NE by specialty
• Optometrist in Nebraska

• 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.
• 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.

Verify at the official NPI Registry.