Active NPI
Robert B Kuczynski, OD
- Optometrist
- Exton, PA
National Provider Identifier
1649388679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001153
- Practice address
- 407 W Lincoln Hwy
Exton, PA 19341-2521 - Phone
- (610) 363-2880
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001153 | PA | Primary |
Addresses
Primary practice location
407 W Lincoln Hwy
Exton, PA 19341-2521
Mailing address
221 Grandview Rd
Media, PA 19063-1748
Phone (610) 566-3658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001153 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649388679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 GRANDVIEW RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631748",
"telephone_number": "610-566-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W LINCOLN HWY",
"city": "EXTON",
"state": "PA",
"postal_code": "193412521",
"telephone_number": "610-363-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCZYNSKI",
"first_name": "ROBERT",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Exton, PA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.