Active NPI
Konowal Vision Inc
- Ophthalmology Physician
- Estero, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- OS7169
- Legal business name
- KONOWAL VISION INC
- Practice address
- 9500 Corkscrew Palms Cir
#3
Estero, FL 33928-3307 - Phone
- (239) 948-7555
- Fax
- (239) 948-8077
- NPI assigned
- Jun 10, 2006
- Last updated
- Jun 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexandra Konowal, DO
- Title
- Owner
- Phone
- (239) 948-7555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | OS7169 | FL | Primary |
Addresses
Primary practice location
9500 Corkscrew Palms Cir
#3
Estero, FL 33928-3307
Mailing address
9500 Corkscrew Palms Cir
#3
Estero, FL 33928-3307
Phone (239) 948-7555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1105780 | Konowal Vision Center | Certificate of waiver | Apr 28, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Estero, FL
- NPI 1144261876
-
- Ophthalmology Physician
- Hallandale Beach, FL
- NPI 1225082258
-
- Ophthalmology Physician
- Estero, FL
- NPI 1750338786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1639110570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 CORKSCREW PALMS CIR",
"address_2": "#3",
"city": "ESTERO",
"state": "FL",
"postal_code": "339283307",
"telephone_number": "239-948-7555",
"fax_number": "239-948-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 CORKSCREW PALMS CIR",
"address_2": "#3",
"city": "ESTERO",
"state": "FL",
"postal_code": "339283307",
"telephone_number": "239-948-7555",
"fax_number": "239-948-8077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KONOWAL VISION INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "KONOWAL",
"authorized_official_first_name": "ALEXANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-948-7555",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "FL",
"license": "OS7169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.