Kasia Szulborski

Primary specialty

OptometristTaxonomy code 152W00000X

License

2590 Issued in NC

Practice address

2 Kenwood St
Belmont, NC 28012-3135

Phone

(704) 825-5322

NPI assigned

May 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Optometry

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Bradley a Wruble OD PLLCGroup PAC ID 0244515831, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Bradley a Wruble OD PLLC

  dba Belmont Eye

  • Optometrist
  • Belmont, NC
  • NPI 1265863831
  Medicare reassignment Care Compare group NPD
• Corte and Wruble, OD, PLLC

  dba Northlake Eye

  • Optometrist
  • Charlotte, NC
  • NPI 1821529249
  Medicare reassignment NPD

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1598322299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W POPLAR ST",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281641528",
            "telephone_number": "570-479-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KENWOOD ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123135",
            "telephone_number": "704-825-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZULBORSKI",
        "first_name": "KASIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2021-06-28",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doc@belmonteye.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 Kenwood St",
            "city": "Belmont",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280123135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Brett Summey, LCMHC
• Supportive Homes Inc.
• Sure Chance, LLC
• Lauren Swafford, PHARMD
• Sarah Szejn
• Maciej Szymczyk
• Joseph Praveen Talluri, PHARM.D
• Lucy Tavernier
• Taylor Touch
• Janice R Taylor, NP

• Optometrist in Belmont, NC
• Providers in Belmont, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.