Katarzyna Krystyna Kawa, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004205A Issued in IN

Practice address

1861 E Summit St
Crown Point, IN 46307-2768

Phone

(219) 663-4450

Fax

(219) 663-4455

NPI assigned

Nov 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Katarzyna K Dudzik Professional name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Robert W Moses O.D. Professional Corporation

  • Optometrist
  • Merrillville, IN
  • NPI 1033161195
  Medicare reassignment NPD
• Robert W Moses OD Professional Corp.

  • Eyewear Supplier
  • Gary, IN
  • NPI 1093830085
  NPD (past)
• Robert W Moses OD Professional Corp.

  • Eyewear Supplier
  • Lowell, IN
  • NPI 1790800217
  NPD (past)
• Eye Love Care Inc

  • Optometrist
  • Colorado Springs, CO
  • NPI 1265031322
  NPD (past)
• Eye Love Care Inc

  • Optometrist
  • Colorado Springs, CO
  • NPI 1881256147
  NPD (past)

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1811532302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 68TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103506",
            "telephone_number": "219-736-2020",
            "fax_number": "219-769-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 E SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072768",
            "telephone_number": "219-663-4450",
            "fax_number": "219-663-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 E 68th Pl",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464103506",
            "country_code": "US",
            "telephone_number": "219-736-2020",
            "fax_number": "219-769-3884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAWA",
        "first_name": "KATARZYNA",
        "middle_name": "KRYSTYNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004205A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "18004205A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LEGEND DRUG",
            "identifier": "18004205B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATARZYNA",
            "last_name": "DUDZIK",
            "middle_name": "K",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah Ann Kats, NURSE PRACTITIONER
• Kauffman Chiropractic
• Danielle B Kauffman, D.C.
• Kristina Kauffman
• Michael Robert Kauffman
• Boban Kecman, D.C.
• Leo Keener, RBT
• Mindy Lee Keeton, RPH
• Scott N Keith, DPM
• Gina Kelly-Elliott, DPT

• Optometrist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.