Stephan George Kossis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003955B Issued in IN

Practice address

759 45TH Ave Ste 101
Munster, IN 46321-2939

Phone

(219) 922-6226

NPI assigned

May 24, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Vision ConsultantsGroup PAC ID 3173954799, 2 clinicians

Aandk Kouklakis OD. P.C.Group PAC ID 7911804521, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Elite Vision Consultants

  • Optometrist
  • Crown Point, IN
  • NPI 1841833142
  Medicare reassignment Care Compare group NPD Authorized official
• A&K Kouklakis OD. P.C.

  • Eyewear Supplier
  • Merrillville, IN
  • NPI 1235252396

  Optometrist

  Medicare reassignment Care Compare group NPD
• Munster Eye Care Associates, P.C.

  • Ophthalmology Physician
  • Munster, IN
  • NPI 1730141037

  Optometrist

  Medicare reassignment NPD
• Kossis Eyecare LLC

  • Optometrist
  • Cedar Lake, IN
  • NPI 1164259644
  NPD Authorized official
• A&K Kouklakis OD P.C.

  • Eyewear Supplier
  • Gary, IN
  • NPI 1295858371

  Optometrist

  NPD
• Munster Eye Care Associates, P.C.

  • Eyewear Supplier
  • Munster, IN
  • NPI 1407059389

  Optometrist

  NPD
• A&K Kouklakis OD P.C.

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

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1962859512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N MAIN ST",
            "address_2": "STE 102",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 45TH AVE STE 101",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212939",
            "telephone_number": "219-922-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSIS",
        "first_name": "STEPHAN",
        "middle_name": "GEORGE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003955B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saveen Kondamuri, M.D.
• Shanu Kondamuri, M.D.
• Patricia Konvalinka, RN, ANP
• Jay L. Korach, M.D.
• Lisa Koscielski
• Michele Christine Kotis, NP
• Emily Barbara Koufos, DMD, MSD
• Michael J. Koufos, D.D.S.
• Andy Koultourides, DDS
• Diana Lynn Kovach, NP

• Optometrist in Munster, IN
• Providers in Munster, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.