Eli Kaczynski MD PS

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00016765 Issued in WA

Legal business name

ELI KACZYNSKI MD PS

Practice address

2529 W Falls Ave
Kennewick, WA 99336-3041

Phone

(509) 783-3161

Fax

(509) 783-3163

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Eli Nmi Kaczynski, MD

Title

Corporate President

Phone

(509) 783-3161

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1497064349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 W FALLS AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363041",
            "telephone_number": "509-783-3161",
            "fax_number": "509-783-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 W FALLS AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363041",
            "telephone_number": "509-783-3161",
            "fax_number": "509-783-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELI KACZYNSKI MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "KACZYNSKI",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "NMI",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "509-783-3161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00016765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST. IND",
            "identifier": "0017179",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1364306",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "756181836",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth J Egli, MD
• Nicole Eikeness
• Toomas Eisler, MD
• Beth Eldhardt, M.ED
• William L Eldred, SUDPT
• Elijah Family Homes
• Elite Athletics Physical Therapy
• Elite Chiropractic and Massage, PLLC
• Elizondo Psychiatric Solutions PLLC
• Alejandra Elizondo, DNP PMHNP

• Ophthalmology Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.