Organization Active NPI

Stephen J. Kaluzne, O.D.,PA

  • Optometrist
  • Winston Salem, NC
National Provider Identifier
1992808703
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0973 Issued in NC
Legal business name
STEPHEN J. KALUZNE, O.D.,PA
Practice address
1330 Ashleybrook LN
Winston Salem, NC 27103-2917
Phone
(336) 774-1770
Fax
(336) 774-1130
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Dr. Stephen KaluzneNPI 1497997902
Title
President
Phone
(336) 774-1770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0973 NC Primary

Addresses

Primary practice location

1330 Ashleybrook LN
Winston Salem, NC 27103-2917

Mailing address

1330 Ashleybrook LN
Winston Salem, NC 27103-2917
Phone (336) 774-1770

National Provider Directory

National Provider Directory

Locations

5034 New Centre Dr
Wilmington, NC 28403
Phone (910) 319-7996

1330 Ashleybrook Ln
Winston Salem, NC 27103
Phone (336) 774-1770

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1992808703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 ASHLEYBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032917",
            "telephone_number": "336-774-1770",
            "fax_number": "336-774-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ASHLEYBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032917",
            "telephone_number": "336-774-1770",
            "fax_number": "336-774-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J. KALUZNE, O.D.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "KALUZNE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-774-1770",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.