Tad R Kosanovich OD PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

TAD R KOSANOVICH OD PA

Practice address

150 S Indiana Ave
Englewood, FL 34223-3307

Phone

(941) 473-1392

Fax

(941) 473-9379

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tad R Kosanovich, ODNPI 1285785527

Title

Owner

Phone

(941) 473-1392

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Tad Robert Kosanovich, O.D.

  • Optometrist
  • Englewood, FL
  • NPI 1285785527
  Medicare reassignment NPD Authorized official
• James Eugenides, O.D.

  • Optometrist
  • Englewood, FL
  • NPI 1699879866
  NPD (past)
• Mary J Schinderle, O.D.

  • Optometrist
  • Sarasota, FL
  • NPI 1235296658
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1326218215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S INDIANA AVE",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233307",
            "telephone_number": "941-473-1392",
            "fax_number": "941-473-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S INDIANA AVE",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233307",
            "telephone_number": "941-473-1392",
            "fax_number": "941-473-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAD R KOSANOVICH OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "KOSANOVICH",
        "authorized_official_first_name": "TAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-473-1392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bybiana Obrar Tagle, PT
• Stormie Eve Talmadge
• Tammy Birbeck DO PLLC (Gulf Women's Center for Health & Surgery)
• Lawrence Alan Tarn, D.D.S.
• Kortni Taulbee, LCSW

• Eyewear Supplier in Englewood, FL
• Providers in Englewood, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.