Peter Joseph Kalinka, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2306-035 Issued in WI

Practice address

3725 Roosevelt Rd
Kenosha, WI 53142-1901

Phone

(262) 654-7991

Fax

(262) 654-8331

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

No

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 WI

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

Illinois College of Optometry at Chicago, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Salem Vision Center Inc

  • Optometrist
  • Salem, WI
  • NPI 1588844252
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1346216256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 ROOSEVELT RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531421901",
            "telephone_number": "262-654-7991",
            "fax_number": "262-654-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 ROOSEVELT RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531421901",
            "telephone_number": "262-654-7991",
            "fax_number": "262-654-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINKA",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2306-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38578100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saba J Kadlec, MD
• Cynthia Kadziulis, RN
• Gregory Kaftan, MD
• Jenna Marie Kahne, NP
• Carey E Kalicki
• Lauren Elizabeth Kalita, PT, DPT
• Christine Kallsen, DPT
• Richa Kamble
• Janice Kampa-Tews, LCSW
• Susan Kang

• Optometrist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.