Jeffrey E Koziol, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-051871 Issued in IL

Practice address

1211 S Arlington Heights Rd
Arlington Heights, IL 60005-3142

Phone

(847) 259-2777

Fax

(847) 437-6841

NPI assigned

Jul 17, 2006

Last updated

May 24, 2016By 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 IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Koziol-Thoms Eye Associates S.C.

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1619901865
  Medicare reassignment NPD Authorized official
• Koziol-Thoms Eye Associates S.C.

  dba Advanced Eye Care Optical

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1659387017
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1891713947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053142",
            "telephone_number": "847-259-2777",
            "fax_number": "847-437-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053142",
            "telephone_number": "847-259-2777",
            "fax_number": "847-437-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIOL",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-051871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD RETIREM",
            "identifier": "791183572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Kotis, DO
• Joan P Kovach, CFA
• Luiza Kozikowska, ED.S.
• Koziol-Thoms Eye Associates S.C.
• Koziol-Thoms Eye Associates S.C. (Advanced Eye Care Optical)
• Ladonna R Koziol, M.D.
• Ellen L Kraemer, PSYD
• David Kravtsov, D.D.S
• Barbara Jo Kreski, OTR
• Justin David Kriezelman, M.D.

• Ophthalmology Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.