Active NPI
Kaluzne Optometry, PA
- Optometrist
- Winston Salem, NC
National Provider Identifier
1639424591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2132
- Legal business name
- KALUZNE OPTOMETRY, PA
- Practice address
- 1330 Ashleybrook LN
Winston Salem, NC 27103-2917 - Phone
- (336) 774-1770
- NPI assigned
- Jul 17, 2012
- 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
- Dr. Stephen Patrick Kauzne, O.D.
- Title
- President
- Phone
- (336) 774-1770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1401 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 774-1770
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342483200000",
"number": "1639424591",
"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": {
"organization_name": "KALUZNE OPTOMETRY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A",
"authorized_official_last_name": "KAUZNE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-774-1770",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": "2132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.