NPIMap

Organization Active NPI

Peter J Kazanovicz

Doing business as d/b/a STUDLEY OCULAR LABORATORIES

  • Prosthetic/Orthotic Supplier
  • Worcester, MA
National Provider Identifier
1649454604
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PETER J KAZANOVICZ
Doing business as
d/b/a STUDLEY OCULAR LABORATORIES
Practice address
460 Lincoln St
Worcester, MA 01605-1918
Phone
(508) 756-9900
Fax
(603) 644-2354
NPI assigned
Dec 26, 2007
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Mr. Peter J Kazanovicz, B.C.O.NPI 1154429736
Title
Board Certified Ocularist/Owner
Phone
(603) 622-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

460 Lincoln St
Worcester, MA 01605-1918

Mailing address

169 S River Rd
Unit 14a
Bedford, NH 03110-6971
Phone (603) 622-5200

Other identifiers 1

IdentifierTypeStateIssuer
1530330MedicaidMA

Other names 1

  • d/b/a STUDLEY OCULAR LABORATORIES Doing business as

National Provider Directory

National Provider Directory

Locations

15 Lowell St
Portland, ME 04102
Phone (207) 774-8277

169 S River Rd
Unit 14A
Bedford, NH 03110
Phone (603) 622-5200

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1649454604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 S RIVER RD",
            "address_2": "UNIT 14A",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106971",
            "telephone_number": "603-622-5200",
            "fax_number": "603-644-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051918",
            "telephone_number": "508-756-9900",
            "fax_number": "603-644-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J KAZANOVICZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "KAZANOVICZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BOARD CERTIFIED OCULARIST/OWNER",
        "authorized_official_telephone_number": "603-622-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530330",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a STUDLEY OCULAR LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.