Individual provider Active NPI

Aleksandra Maria Czyz, OD

  • Optometrist
  • Janesville, WI
National Provider Identifier
1932943685
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4020-35 Issued in WI
Practice address
2520 Milton Ave SPC 150
Janesville, WI 53545-0442
Phone
(608) 757-2633
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4020-35 WI Primary

Addresses

Primary practice location

2520 Milton Ave SPC 150
Janesville, WI 53545-0442

Mailing address

2738 Park Place LN Apt 48
Janesville, WI 53545-5267
Phone (773) 993-6070

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
I20260612001918 WI Practitioner - Optometry 4587136320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2738 Park Place LN
Apt 48
Janesville, WI 53545-5266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4020-35WIMDOptometrist

Organizations & group practices 1

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1932943685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 PARK PLACE LN APT 48",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535455267",
            "telephone_number": "773-993-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 MILTON AVE SPC 150",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450442",
            "telephone_number": "608-757-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZYZ",
        "first_name": "ALEKSANDRA",
        "middle_name": "MARIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "4020-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.