ELI KACZYNSKI MD PS (NPI# 1497064349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497064349 |
| Entity Type | Organization |
| Organization Name | ELI KACZYNSKI MD PS |
| Practice Address |
2529 W Falls Ave Kennewick WA 99336-3041 |
| Practice Telephone | 5097833161 |
| Practice Fax Number | 5097833163 |
| Mailing Telephone | 5097833161 |
| Mailing Fax Number | 5097833163 |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2015-08-10 |
| Authorized Official Name | DR. ELI NMI KACZYNSKI (CORPORATE PRESIDENT) |
| Authorized Official Telephone | 5097833161 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD00016765 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | ST. IND | 0017179 | 01 |
| WA | MEDICARE RAILROAD | 756181836 | 01 |
| WA | 1364306 | 05 |
| Street Address |
2529 W FALLS AVE |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932119278 | Eli Kaczynski | Ophthalmology | 2529 W Falls Ave, Kennewick, WA 99336-3041 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356508626 | Clearly Lasik, Inc. | Ophthalmology | 8904 W Tucannon Ave, Suite B, Kennewick, WA 99336-7178 | 2008-05-22 |
| 1932119278 | Eli Kaczynski | Ophthalmology | 2529 W Falls Ave, Kennewick, WA 99336-3041 | 2006-08-09 |
| 1104878859 | James P Guzek | Ophthalmology | 6695 W Rio Grande Ave, Kennewick, WA 99336-3301 | 2006-05-17 |
| 1497730006 | Marvin G Palmer | Ophthalmology | 2427 W Falls Ave, Kennewick, WA 99336-3068 | 2005-12-07 |
| 1275532996 | Charles C Sung | Ophthalmology | 317 N Delaware St, Kennewick, WA 99336-7750 | 2005-07-14 |
| 1528595550 | Charles Sung Md PC | Ophthalmology | 317 N Delaware St, Kennewick, WA 99336-7750 | 2017-05-22 |
| 1407069123 | Loren Stanley Seery | Ophthalmology | 6695 W Rio Grande Ave, Kennewick, WA 99336-3301 | 2007-05-08 |
| 1285680769 | Oswald Rondon | Ophthalmology | 6695 W Rio Grande Ave, Kennewick, WA 99336-3301 | 2006-05-26 |
| 1417957515 | Sandra Chern | Ophthalmology | 317 N Delaware St, Kennewick, WA 99336-7750 | 2005-07-29 |
| 1285634931 | Kiran Kumar Vallam | Ophthalmology | 317 N Delaware St, Kennewick, WA 99336-7750 | 2005-07-22 |
| Find all providers in KENNEWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.