Stephen D Kolnik, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3433 Issued in MA

Practice address

1191 Chestnut Street
Newton, MA 02464

Phone

(617) 243-3937

Fax

(617) 243-3935

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

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.

• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • Amherst, MA
  • NPI 1124534946
  Medicare reassignment NPD
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • East Longmeadow, MA
  • NPI 1689131021
  NPD
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • North Andover, MA
  • NPI 1922971415
  NPD
• Newtoneye PC

  • Optometrist
  • Wellesley, MA
  • NPI 1821155607
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1609957893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 CHESTNUT STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02464",
            "telephone_number": "617-243-3937",
            "fax_number": "617-243-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 CHESTNUT STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02464",
            "telephone_number": "617-243-3937",
            "fax_number": "617-243-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLNIK",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Yan Koenders, PA-C
• Brigid Koenen, NP
• Molly Kokoski
• Katerina Kokovidis
• Karen Marie Kolarik, D.C.
• Kelley Koloski, PA-C
• Samuel Kombo
• Elizabeth A Konig, M.D.
• Sarah E Koonce, PA-C
• Jennifer Koot

• Optometrist in Newton, MA
• Providers in Newton, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.