Gregory G Kalkofen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003953 Issued in MI

Practice address

42550 Garfield
Suite 101
Clinton TWP, MI 48038-1644

Phone

(586) 263-9708

Fax

(586) 263-0280

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gregory Kalkofen Other name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometry PCGroup PAC ID 3173437118, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optometry, P.C.

  • Optometrist
  • Clinton TWP, MI
  • NPI 1205863727
  Medicare reassignment Care Compare group NPD
• Optometry, P.C.

  • Optometrist
  • Washington TWP, MI
  • NPI 1831438746
  NPD

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1669485801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42550 GARFIELD",
            "address_2": "SUITE 101",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381644",
            "telephone_number": "586-263-9708",
            "fax_number": "586-263-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42550 GARFIELD",
            "address_2": "SUITE 101",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381644",
            "telephone_number": "586-263-9708",
            "fax_number": "586-263-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALKOFEN",
        "first_name": "GREGORY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREGORY",
            "last_name": "KALKOFEN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kevin Allen Jutzy, MD
• JV Chiropractic LLC
• Thomas Michael Kachorek
• Diane Stephanie Kaczmarek, PA
• Joseph W Kaiser, D.O.
• Stacie Ann Kaltz, BSW,QMRP
• Charles Thomas Kaminski, DDS
• Joann Kapa
• Samantha A Kapoor, CRNA
• Leah Kapsner-Anfinson

• Optometrist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.