Karon Klem Nowakowski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002429 Issued in IN

Practice address

4801 W Bethel Ave
Muncie, IN 47304-5510

Phone

(765) 288-7744

Fax

(765) 282-0741

NPI assigned

Oct 4, 2005

Last updated

Sep 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision Care LLCGroup PAC ID 9335664226, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alice Grasso McCaslin, OD, MS

  • Optometrist
  • Muncie, IN
  • NPI 1508346115
  Medicare reassignment

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.

• Family Vision Care LLC

  dba Family Vision Care

  • Optometrist
  • Muncie, IN
  • NPI 1740005495
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1801883947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045510",
            "telephone_number": "765-288-7744",
            "fax_number": "765-282-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045510",
            "telephone_number": "765-288-7744",
            "fax_number": "765-282-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAKOWSKI",
        "first_name": "KARON",
        "middle_name": "KLEM",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0240890001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haris Ali Noorani, MD
• Patricia Northcutt
• Tristyn Norton, RBT
• John T Notarianni
• Juliet M Nottingham, NP
• Richard Roy Nowakowski, D.D.S.
• Crystal Dawn Nowels, NP
• Nra Muncie Indiana LLC (U.S. Renal Care North Muncie Dialysis)
• Nra-Muncie (Renaissance), Indiana, LLC
• Samantha Nuce, DPT

• Optometrist in Muncie, IN
• Providers in Muncie, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.