Elizabeth Kovalchuk

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT35605 Issued in CA

Practice address

8535 Calmada Ave
Whittier, CA 90605-1522

Phone

(562) 322-6910

NPI assigned

Oct 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• 20-20 Vision Optometric Center Inc

  • Optometrist
  • Westminster, CA
  • NPI 1346877420
  Medicare reassignment NPD

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1699548743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 CALMADA AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051522",
            "telephone_number": "562-322-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 CALMADA AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051522",
            "telephone_number": "562-322-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALCHUK",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kolman Prosthetics Orthotics,Inc.
• Nicole Elizabeth Kolodka, OTR/L
• Celina Maria Kotanjian, NP-C
• Anushik Kotikyan, MD
• Bruce W Kovacs, M.D.
• Ian M Kramer, MD
• Olivia Anne Kramer, DPT
• Shaun Kramer
• Ariel Destine Kranda, AU.D.
• Jennifer Kranzer

• Optometrist in Whittier, CA
• Providers in Whittier, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.