Individual provider Active NPI

Brian Olzinski, OD

  • Optometrist
  • Stroudsburg, PA
National Provider Identifier
1760476758
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000303 Issued in PA
Practice address
852 N 9TH St
Stroudsburg, PA 18360-1206
Phone
(570) 421-3342
NPI assigned
Sep 6, 2005
Last updated
Feb 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000303 PA Primary

Addresses

Primary practice location

852 N 9TH St
Stroudsburg, PA 18360-1206

Mailing address

255 Sycamore CT
Wind Gap, PA 18091-9526
Phone (610) 703-4307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100317000764 PA Practitioner - Optometry 5890820708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

245 S Prospect St
Nanticoke, PA 18634-2443

281 Airport Rd
Hazle Township, PA 18202-3320
Phone (570) 453-2020

2942 Route 611
Tannersville, PA 18372-7924
Phone (570) 421-3342

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000303PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Jan 29, 2019 Accepting new patients
DRS Sandra M Krokos & Thomas P Kislan PC Optometrist CurrentSince Jan 6, 2010 Accepting new patients
DRS Sandra M Krokos & Thomas P Kislan PC Optometrist CurrentSince Jan 6, 2010 Accepting new patients
Visionworks, Inc CurrentSince Jan 29, 2019 Accepting new patients

Locations

3714 Nazareth Rd
Unit 4
Easton, PA 18045
Phone (210) 524-6672

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

281 Airport Rd
Hazle Township, PA 18202
Phone (570) 453-2020

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

852 N 9th St
Stroudsburg, PA 18360
Phone (570) 421-3342

2942 Route 611
Ste 105
Tannersville, PA 18372
Phone (570) 421-3342

2942 Route 611
Ste 5
Tannersville, PA 18372
Phone (570) 421-3342

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1760476758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SYCAMORE CT",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180919526",
            "telephone_number": "610-703-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601206",
            "telephone_number": "570-421-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLZINSKI",
        "first_name": "BRIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.