Active NPIIndividual provider

Kaitlyn E Kolzow, OD

Optometrist in Bloomfield, New Jersey

NPI Number1003436791
Practice location
108 Broughton Ave, Bloomfield, NJ 07003-3999
Fax
—
Last updated
April 22, 2020

Kaitlyn Elizabeth Kolzow is an Optometrist based in Bloomfield, NJ. Kaitlyn Elizabeth Kolzow practices in Bloomfield, NJ and has the professional credentials of OD. The NPI Number for Kaitlyn Elizabeth Kolzow is 1003436791 and holds a License No. 27OA00691600 (NJ). The current practice location address for Kaitlyn Elizabeth Kolzow is 108 Broughton Ave, Bloomfield, NJ 07003-3999 and can be reached out via phone at 973-743-1331.

Provider Profile Details

NPI Number
1003436791
Provider Name
Kaitlyn Elizabeth Kolzow
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
108 Broughton Ave, Bloomfield, NJ 07003-3999
Phone Number
973-743-1331
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
April 22, 2020
Last Update Date
April 22, 2020
Certification Date
April 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
108 Broughton Ave
Bloomfield, NJ 07003-3999
Zip
07003-3999
Phone Number
973-743-1331
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
84 Wintermute RD
Newton, NJ 07860-5407
City
Newton
State
NJ
Zip
07860-5407
Phone Number
973-975-7125

License Information

License Number
27OA00691600
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kaitlyn E Kolzow, OD?

The NPI number of Kaitlyn E Kolzow, OD is 1003436791. It was assigned on April 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Kaitlyn E Kolzow, OD?

Kaitlyn E Kolzow, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00691600.

Where does Kaitlyn E Kolzow, OD practice?

The practice location is 108 Broughton Ave, Bloomfield, NJ 07003-3999. The office can be reached at 973-743-1331 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003436791 directly on the NPPES registry website.

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