Dr Jeffrey David Kozlowski, OD | |
336 Georgia Ave, Suite 102, North Augusta, SC 29841-3849 | |
(803) 442-3006 | |
(803) 642-0754 |
Full Name | Dr Jeffrey David Kozlowski |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 26 Years |
Location | 336 Georgia Ave, North Augusta, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598740631 | NPI | - | NPPES |
DN1734 | Medicaid | SC | |
AA73227125 | Other | SC | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1102 (South Carolina) | Secondary |
152W00000X | Optometrist | 1734 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Duke University Hospital | Durham, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Duke Health Integrated Practice Inc | 8325412737 | 2636 |
Provider Name | Private Diagnostic Clinic Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Provider Name | Duke Health Integrated Practice Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey David Kozlowski, OD Po Box 110566, Durham, NC 27709-5566 Ph: (919) 620-4855 | Dr Jeffrey David Kozlowski, OD 336 Georgia Ave, Suite 102, North Augusta, SC 29841-3849 Ph: (803) 442-3006 |
Basil Norman Coombs, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1201 Knox Ave, North Augusta, SC 29841 Phone: 803-442-3050 Fax: 803-202-0275 | |
John W.l. Smith Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 531 Georgia Ave, North Augusta, SC 29841 Phone: 803-279-5277 Fax: 803-279-0699 | |
Dr. John W.l. Smith, OD Optometrist Medicare: Medicare Enrolled Practice Location: 531 Georgia Ave, North Augusta, SC 29841 Phone: 803-279-5277 Fax: 803-279-0699 | |
None Optometrist Medicare: Medicare Enrolled Practice Location: 1201 Knox Ave, North Augusta, SC 29841 Phone: 803-279-0188 | |
Joy Ellenberger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 531 Georgia Ave, North Augusta, SC 29841 Phone: 803-279-5277 |