Karen Roberson Kudija, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9587T Issued in CA

Practice address

1112 Vine St
Paso Robles, CA 93446

Phone

(805) 238-1001

Fax

(805) 237-1057

NPI assigned

Apr 13, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gary L Englund OD ApcGroup PAC ID 8628012697, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gary L. Englund, OD, Apc

  • Optometrist
  • Los Osos, CA
  • NPI 1356530638
  Medicare reassignment Care Compare group NPD
• Gary L. Englund, OD, Apc

  • Optometrist
  • Paso Robles, CA
  • NPI 1184632390
  NPD

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1821052176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "93446",
            "telephone_number": "805-238-1001",
            "fax_number": "805-237-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "93446",
            "telephone_number": "805-238-1001",
            "fax_number": "805-237-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDIJA",
        "first_name": "KAREN",
        "middle_name": "ROBERSON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9587T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001440",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0062080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Kopper, O.D.
• Koushan H. Azad Dental Corporation
• Charles David Krill, D.D.S.
• Deborah Ann Kronstad, M.D.
• Rouan Edwin Kruger, PHARMACIST
• Nuree Kwon
• Donald S La Casto Jr., D.C.
• Lags Spine and Sportscare Medical Centers, Inc.
• Cherie Lou Fajardo Lamson
• Lansford Dental Corporation

• Optometrist in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.