Dr. Aleksandr Kozlov, OD
Optometrist in Suffield, Connecticut
1700138047- Practice location
- 162 Mountain RD, Suffield, CT 06078-2091
- Phone
- 860-668-0266
- Fax
- 860-668-5556
- Last updated
- October 4, 2024
Aleksandr Kozlov is an Optometrist based in Suffield, CT. Aleksandr Kozlov practices in Suffield, CT and has the professional credentials of OD. The NPI Number for Aleksandr Kozlov is 1700138047 and holds a License No. 60570234 (WA). The current practice location address for Aleksandr Kozlov is 162 Mountain RD, Suffield, CT 06078-2091 and can be reached out via phone at 860-668-0266 and via fax at 860-668-5556.
Provider Profile Details
- NPI Number
- 1700138047
- Provider Name
- Aleksandr Kozlov
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 162 Mountain RD, Suffield, CT 06078-2091
- Phone Number
- 860-668-0266
- Fax Number
- 860-668-5556
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 10, 2012
- Last Update Date
- October 4, 2024
- Certification Date
- October 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 162 Mountain RD
Suffield, CT 06078-2091 - City
- Suffield
- State
- Connecticut
- Zip
- 06078-2091
- Phone Number
- 860-668-0266
- Fax Number
- 860-668-5556
Provider Business Mailing Address Details
- Address
- 8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442 - City
- Vienna
- State
- VA
- Zip
- 22182-2442
- Phone Number
- 703-847-8899
- Fax Number
- 571-223-6780
License Information
- License Number (1)
- 60570234
- License State (1)
- WA
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- 3188
- License State (2)
- CT
- Taxonomy (2)
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Suffield, CT
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- Richard J Colo, ODOptometrist · NPI 1538259767
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- Suffield Eye Care, PLLCOptometrist · NPI 1013494632
Frequently Asked Questions
What is the NPI number of Dr. Aleksandr Kozlov, OD?
The NPI number of Dr. Aleksandr Kozlov, OD is 1700138047. It was assigned on October 10, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Aleksandr Kozlov, OD?
Dr. Aleksandr Kozlov, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in WA under license number 60570234.
Where does Dr. Aleksandr Kozlov, OD practice?
The practice location is 162 Mountain RD, Suffield, CT 06078-2091. The office can be reached at 860-668-0266 (phone) or 860-668-5556 (fax).
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 1700138047 directly on the NPPES registry website.