Peter J Kazanovicz

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PETER J KAZANOVICZ

Practice address

1685 Congress Street
Portland, ME 04102-2776

Phone

(207) 772-1467

Fax

(603) 644-2354

NPI assigned

Dec 26, 2007

Organization subpart

No

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.

Title

Board Certified Ocularist/Owner

Phone

(603) 622-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

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

Locations

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1710161773",
    "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": "1685 CONGRESS STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022776",
            "telephone_number": "207-772-1467",
            "fax_number": "603-644-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J KAZANOVICZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2012-10-30",
        "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": "141840000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a STUDLEY OCULAR LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Perry
• Danielle L. Perry, LCSW
• Joanne M Perry, APRN, BC
• John B Perry, DPM
• Renee Alison Perry
• Peter T Cyr DMD PA
• Peters Professional Association LLC
• Anne Ginder Peters, LCSW
• Meredith Leigh Petersen, M.S. CCC SLP
• Carrie Peterson, LCPC

• Prosthetic/Orthotic Supplier in Portland, ME
• Providers in Portland, ME by specialty
• Prosthetic/Orthotic Supplier in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.