Edward M Kulback, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00532100 Issued in NJ

Practice address

495 Iron Bridge Rd
Suite 6
Freehold, NJ 07728-3069

Phone

(732) 577-5558

Fax

(732) 577-5559

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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 NJ

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

Pennsylvania College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Contact Lens and Vision Associates, P.aGroup PAC ID 1850355975, 7 clinicians

Ronald Minzter, MD PCGroup PAC ID 3476659152, 2 clinicians

Practice addresses (Care Compare)

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.

• Contact Lens and Vision Associates, P.a

  • Optometrist
  • Freehold, NJ
  • NPI 1922211978
  Medicare reassignment Care Compare group NPD
• Ronald Minzter, MD PC

  • Specialist
  • Freehold, NJ
  • NPI 1750472171
  Medicare reassignment Care Compare group NPD
• Contact Lens and Vision Consultants, P.a

  • Optometrist
  • Woodbridge, NJ
  • NPI 1568674497
  Medicare reassignment NPD
• Strategic Rehabilitation Services, P.C.

  • Specialist
  • Freehold, NJ
  • NPI 1477616266
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629189873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 IRON BRIDGE RD",
            "address_2": "SUITE 6",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283069",
            "telephone_number": "732-577-5558",
            "fax_number": "732-577-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 IRON BRIDGE RD",
            "address_2": "SUITE 6",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283069",
            "telephone_number": "732-577-5558",
            "fax_number": "732-577-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULBACK",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00532100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Kraus, LSW
• Ashley Taylor Kravitz
• Mark S Kroll, MD
• Anita D Kuderna, APN
• Ramanasri V Kudipudi, MD
• Arun S. Kumar, M.D.
• Nirmal A. Kumar, M.D.
• Stephanie Kuper, LCSW
• Tiffanie Kurtz, EDS, PSYD
• Patricia Labarbara, LSW

• Optometrist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Optometrist in New Jersey

• 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.

Verify at the official NPI Registry.