Kozlow Eye Center PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301054436 Issued in MI

Legal business name

KOZLOW EYE CENTER PLLC

Practice address

23874 Kean St
#130
Dearborn, MI 48124-1804

Phone

(313) 626-0909

Fax

(313) 551-5688

NPI assigned

Oct 7, 2015

Organization subpart

No

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

Authorized official

Name

Daniel B Kozlow, MDNPI 1811968001

Title

Authorized Official

Phone

(313) 626-0909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel B Kozlow, M.D.

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1811968001
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1891166575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23874 KEAN STREET",
            "address_2": "#130",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241804",
            "telephone_number": "313-626-0909",
            "fax_number": "313-551-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23874 KEAN ST",
            "address_2": "#130",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241804",
            "telephone_number": "313-626-0909",
            "fax_number": "313-551-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOZLOW EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "KOZLOW",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "313-626-0909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301054436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Koviak, CCC-SLP
• Mackenzie Rae Kowalewicz
• Jaden Kowalski
• Rowen Sine Kowalski
• Madeline Sophia Kozakowski
• Daniel B Kozlow, M.D.
• Kelly Jeanne Kozlowski, DO
• Josh Peter Kozun, BD
• Kaela Kraft
• Sarah Krakowiak

• Ophthalmology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.