Individual provider Active NPI

Kathryn Swan, OD

  • Optometrist
  • Rocky Hill, CT
National Provider Identifier
1649650409
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2942 Issued in CT
Practice address
38 Town Line Rd
Rocky Hill, CT 06067-1200
Phone
(860) 785-8176
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2942 CT Primary

Addresses

Primary practice location

38 Town Line Rd
Rocky Hill, CT 06067-1200

Mailing address

100 Hang Dog LN
Wethersfield, CT 06109-4101
Phone (860) 331-6647

Other names 1

  • Kathryn Kulowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20151123000072 CT Practitioner - Optometry 9436459559 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swan Vision Optometrist CurrentSince Jul 1, 2018 Accepting new patients
Apex Optometric Care PC Optometrist CurrentSince Jan 2, 2020 Accepting new patients

Locations

325 Burnham St
East Hartford, CT 06108

14 Hazard Ave
Enfield, CT 06082
Phone (860) 256-8766

45 Asylum St
Hartford, CT 06103
Phone (860) 256-8766

38 Town Line Rd
Ste 3
Rocky Hill, CT 06067
Phone (860) 785-8176

38 Town Line Rd
Rocky Hill, CT 06067
Phone (860) 785-8176

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1649650409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HANG DOG LN",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094101",
            "telephone_number": "860-331-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 TOWN LINE RD",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671200",
            "telephone_number": "860-785-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "KATHRYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "KULOWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.