NPIMap

Organization Active NPI

Nicholas D. Kowalczyk O.D., P.C.

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1811136294
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
128 Issued in AZ
Legal business name
NICHOLAS D. KOWALCZYK O.D., P.C.
Doing business as
Your Eyes Only Optical
Practice address
2160 W Chandler Blvd Ste 19
Chandler, AZ 85224-6163
Phone
(480) 963-3221
Fax
(480) 812-8424
NPI assigned
Feb 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. Nicholas D. Kowalczyk, O.D.,P.C.
Title
Optometrist
Phone
(480) 963-3221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 128 AZ Primary

Addresses

Primary practice location

2160 W Chandler Blvd Ste 19
Chandler, AZ 85224-6163

Mailing address

2160 W Chandler Blvd Ste 19
Chandler, AZ 85224-6163
Phone (480) 963-3221

Other names 1

  • Your Eyes Only Optical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1811136294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 W CHANDLER BLVD STE 19",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246163",
            "telephone_number": "480-963-3221",
            "fax_number": "480-812-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W CHANDLER BLVD STE 19",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246163",
            "telephone_number": "480-963-3221",
            "fax_number": "480-812-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS D. KOWALCZYK O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "KOWALCZYK",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "480-963-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D.,P.C."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Eyes Only Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.