Patricia M Kowalski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004417 Issued in MI

Practice address

702 W Lake Lansing Rd
Suite F
East Lansing, MI 48823-8526

Phone

(517) 337-1668

Fax

(517) 337-1779

NPI assigned

Oct 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

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.

• Care Free Medical, Inc

  • Family Medicine Physician
  • Lansing, MI
  • NPI 1518983907

  Optometrist

  Medicare reassignment NPD
• Care Free Medical, Inc

  • Federally Qualified Health Center (FQHC)
  • Lansing, MI
  • NPI 1700607405

  Optometrist

  NPD (past)
• Lansing Ophthalmology, P.C.

  • Ophthalmology Physician
  • East Lansing, MI
  • NPI 1962485342

  Optometrist

  NPD (past)
• Lansing Ophthalmology, PC

  • Surgical Physician Assistant
  • East Lansing, MI
  • NPI 1336234566
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1730170697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231378",
            "telephone_number": "517-337-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W LAKE LANSING RD",
            "address_2": "SUITE F",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238526",
            "telephone_number": "517-337-1668",
            "fax_number": "517-337-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TU006490-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPHPMM",
            "identifier": "200000010078",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PK004417",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie M Kontkiewicz
• Rachel Korest
• Amy Korzecke, D.O.
• Mallory Trumble Kosaski, LMSW
• Jeffrey Richard Kovan, D.O.
• Elizabeth Kozlowski, DO
• Kozmic Counseling
• Brooke Kraeszig
• Erin Kramer, PHARMD
• Michael Kramer

• Optometrist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.