Active NPI
John Kudryk, O.D.
- Optometrist
- Clearwater, FL
National Provider Identifier
1376500975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1664
- Practice address
- 14775 Feather Cove Rd
Clearwater, FL 33762-3018 - Phone
- (813) 731-3276
- NPI assigned
- Apr 27, 2006
- 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 | 1664 | FL | Primary |
Addresses
Primary practice location
14775 Feather Cove Rd
Clearwater, FL 33762-3018
Mailing address
14775 Feather Cove Rd
Clearwater, FL 33762-3018
Phone (813) 731-3276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3242 Cove Bend Dr
Tampa, FL 33613-2752
Phone (813) 265-6940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1664 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larry M. Perich Dopa | Optometrist | Current | Accepting new patients |
| Craig Berger MD PL | Current | Accepting new patients | |
| Lebowitz Medical Group PA | Past | Accepting new patients | |
| Florida Vision Institute Inc | Optometrist | Past | Accepting new patients |
| Brandon Eye Associates PA | Optometrist | Past | Accepting new patients |
Locations
2020 Seven Springs Blvd
New Pt Richey, FL 34655
Phone (727) 372-1311
3242 Cove Bend Dr
Tampa, FL 33613
Phone (813) 265-6940
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
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- NPI 1568501344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376500975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14775 FEATHER COVE RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337623018",
"telephone_number": "813-731-3276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14775 FEATHER COVE RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337623018",
"telephone_number": "813-731-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDRYK",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "1664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
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.
- 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.