Individual provider Active NPI

Barbara Lenore Koslow, O.D.

  • Optometrist
  • Kinnelon, NJ
National Provider Identifier
1811190085
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA005148 Issued in NJ
Practice address
42 Forestdale Rd
Kinnelon, NJ 07405-2509
Phone
(973) 838-0928
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

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
Optometrist 152W00000X OA005148 NJ Primary

Addresses

Primary practice location

42 Forestdale Rd
Kinnelon, NJ 07405-2509

Mailing address

42 Forestdale Rd
Kinnelon, NJ 07405-2509
Phone (973) 838-0928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20151118001470 NJ Practitioner - Optometry 5294035523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optika Eyecare, Inc.Group PAC ID 6901872217, 2 clinicians

Practice addresses (Care Compare)

25 Kinnelon Eyecare
Kinnelon, NJ 07405-2337

25 Kinnelon Rd
Kinnelon, NJ 07405-2337
Phone (973) 838-8190

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA005148NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optika Eyecare, Inc. Optometrist CurrentSince Oct 1, 2015 Accepting new patients

Locations

25 Kinnelon Rd
Kinnelon, NJ 07405
Phone (973) 838-6699

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811190085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 FORESTDALE RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052509",
            "telephone_number": "973-838-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 FORESTDALE RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052509",
            "telephone_number": "973-838-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSLOW",
        "first_name": "BARBARA",
        "middle_name": "LENORE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA005148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

Verify at the official NPI Registry.