Individual provider Active NPI

Christine A. Kalicki, O.D.

  • Optometrist
  • Phoenixville, PA
National Provider Identifier
1326266347
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001032 Issued in PA
Practice address
227 Church St
Phoenixville, PA 19460-3413
Phone
(610) 933-5137
Fax
(610) 933-5126
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001032 PA Primary

Addresses

Primary practice location

227 Church St
Phoenixville, PA 19460-3413

Mailing address

227 Church St
Phoenixville, PA 19460-3413
Phone (610) 933-5137

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001032PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visual Edge LLC Optometrist PastSince May 16, 2022 Accepting new patients
Millis Eye Associates, LLC Optometrist PastSince Jan 1, 2007 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1326266347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CHURCH ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603413",
            "telephone_number": "610-933-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CHURCH ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603413",
            "telephone_number": "610-933-5137",
            "fax_number": "610-933-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALICKI",
        "first_name": "CHRISTINE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.