Individual provider Active NPI

Kathryn Joan Koslowski Parsons, OD

  • Optometrist
  • Fitchburg, WI
National Provider Identifier
1831759166
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3568-35 Issued in WI
Practice address
6231 McKee Rd Ste C
Fitchburg, WI 53719-5177
Phone
(608) 273-2020
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3568-35 WI Primary

Addresses

Primary practice location

6231 McKee Rd Ste C
Fitchburg, WI 53719-5177

Mailing address

6231 McKee Rd Ste C
Fitchburg, WI 53719-5177

Other names 1

  • Kathryn Joan Koslowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20190812003535 WI Practitioner - Optometry 6507193661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midline Vision Group, LLCGroup PAC ID 0345485991, 3 clinicians

Practice addresses (Care Compare)

445 Orbiting Dr
Mosinee, WI 54455-1762
Phone (715) 298-3486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midline Vision Group, LLC Optometrist CurrentSince Nov 20, 2022 Accepting new patients

Locations

6231 McKee Rd
Ste C
Fitchburg, WI 53719
Phone (608) 273-2020

408 N 3rd St
Ste 402
Wausau, WI 54403

Organizations & group practices 3

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1831759166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 MCKEE RD STE C",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 MCKEE RD STE C",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195177",
            "telephone_number": "608-273-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "KATHRYN",
        "middle_name": "JOAN KOSLOWSKI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3568-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "KOSLOWSKI",
            "middle_name": "JOAN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.