Alexander H Kouklakis, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

18002297B Issued in IN

Practice address

2294 W 81St Ave
Merrillville, IN 46410-5339

Phone

(219) 756-1700

NPI assigned

Nov 8, 2006

Last updated

Dec 27, 2007By the provider in NPPES

Sex

Male

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 1

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A&K Kouklakis OD. P.C.

  dba Vision Quest Eye Clinics

  • Eyewear Supplier
  • Merrillville, IN
  • NPI 1235252396
  Medicare reassignment NPD Authorized official
• A&K Kouklakis OD P.C.

  dba Vision Quest Eye Clinics

  • Eyewear Supplier
  • Gary, IN
  • NPI 1295858371
  NPD Authorized official
• A&K Kouklakis OD. P.C.

  dba Vision Quest Eye Clinics

  • Optometrist
  • Hammond, IN
  • NPI 1851414379
  NPD Authorized official
• A&K Kouklakis OD P.C.

  dba Vision Quest Eye Clinics

  • Optometrist
  • East Chicago, IN
  • NPI 1700909884
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1851460299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2294 W 81ST AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105339",
            "telephone_number": "219-756-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2294 W 81ST AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105339",
            "telephone_number": "219-756-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUKLAKIS",
        "first_name": "ALEXANDER",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18002297B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100215150",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mutena B. Korman, M.D.
• Sarah Kosanke, BS
• Joseph B Koscielniak Jr., M.D.
• Albert Kosior
• John G. Kostides, DDS
• Breanne Kowalski, FNP-C
• Clark Kramer, M.D.
• Kelly Jo Kraus, RPH
• Jean Racquel Krause, RN, IBCLC
• Krishnan Potti, M.D.

• Corneal and Contact Management Optometrist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Corneal and Contact Management Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.