Individual provider Active NPI

John Kwapick I, O.D.

  • Corneal and Contact Management Optometrist
  • Friendswood, TX
National Provider Identifier
1811035249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2465TG Issued in TX
Practice address
1084 Baybrook Mall
Friendswood, TX 77546-2744
Phone
(281) 480-9799
Fax
(281) 480-9798
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2465TG TX Primary

Addresses

Primary practice location

1084 Baybrook Mall
Friendswood, TX 77546-2744

Mailing address

18102 Starboard Dr
Houston, TX 77058-4334
Phone (713) 498-4650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170329002760 TX Order and Referring Only - OptometryPractitioner - Optometry 8729363932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2465TGTXMDCorneal and Contact Management Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811035249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 STARBOARD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770584334",
            "telephone_number": "713-498-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 BAYBROOK MALL",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462744",
            "telephone_number": "281-480-9799",
            "fax_number": "281-480-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAPICK",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "2465TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.