Individual provider Active NPI

William Kwik, O.D.

  • Optometrist
  • Orchard Park, NY
National Provider Identifier
1790753069
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT006383 Issued in NY
Practice address
6421 W Quaker St
Orchard Park, NY 14127-2354
Phone
(716) 662-4525
Fax
(716) 662-4138
NPI assigned
Mar 10, 2006
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT006383 NY Primary

Addresses

Primary practice location

6421 W Quaker St
Orchard Park, NY 14127-2354

Mailing address

6421 W Quaker St
Orchard Park, NY 14127-2354
Phone (585) 281-0321

Other identifiers 5

IdentifierTypeStateIssuer
123100CSOtherNYPREFERRED CARE-HMO
P017002559OtherNYEXCELLUS,BC HMO,BCBS PPO(VENDOR ID)
P010016383OtherNYEXCELLUS/BLUE CHOICE HMO
3729902OtherNYAETNA
P050016383OtherNYEXCELLUS/BLUE SHIELD PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
VUT006383NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John M. Brzezicki, Jr., O.D. Optometrist PastSince Sep 4, 2018 Accepting new patients
Eye Health Associates of Western New York PC Past Accepting new patients

Organizations & group practices 3

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1790753069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 W QUAKER ST",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272354",
            "telephone_number": "585-281-0321",
            "fax_number": "585-486-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 W QUAKER ST",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272354",
            "telephone_number": "716-662-4525",
            "fax_number": "716-662-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIK",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT006383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE-HMO",
            "identifier": "123100CS",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS,BC HMO,BCBS PPO(VENDOR ID)",
            "identifier": "P017002559",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS/BLUE CHOICE HMO",
            "identifier": "P010016383",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3729902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS/BLUE SHIELD PPO",
            "identifier": "P050016383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.