Individual provider Active NPI

Stephen Patrick Kaluzne

  • Optometrist
  • Winston Salem, NC
National Provider Identifier
1497997902
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2132 Issued in NC
Practice address
1330 Ashleybrook LN
Winston Salem, NC 27103-2917
Phone
(336) 774-1770
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2132 NC Primary

Addresses

Primary practice location

1330 Ashleybrook LN
Winston Salem, NC 27103-2917

Mailing address

1330 Ashleybrook LN
Winston Salem, NC 27103-2917
Phone (336) 774-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20100609000662 NC Practitioner - Optometry 4688704158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaluzne Optometry PAGroup PAC ID 3375792914, 2 clinicians

Practice addresses (Care Compare)

1401 Westgate Ctr Dr
Winston Salem, NC 27103-2995
Phone (336) 774-1770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2132NCMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaluzne Optometry, PA Optometrist CurrentSince Aug 1, 2012 Accepting new patients
Stephen J. Kaluzne, O.D.,PA Optometrist Past Accepting new patients

Locations

1401 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 774-1770

1330 Ashleybrook Ln
Winston Salem, NC 27103
Phone (336) 774-1770

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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1497997902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 ASHLEYBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032917",
            "telephone_number": "336-774-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ASHLEYBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032917",
            "telephone_number": "336-774-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALUZNE",
        "first_name": "STEPHEN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.