IGOR KOZAK (NPI# 1982982302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982982302 |
Entity Type | Individual |
Full Name | IGOR KOZAK |
Credential | M.D. |
Practice Address |
Ucsd Shiley Eye Ctr 9415 Campus Point Drive, 0946 La Jolla CA 92093-0001 |
Mailing Address |
7959 Caminito Dia Unit 4 San Diego CA 92122-1607 |
Practice Telephone | 8585348975 |
Practice Fax Number | 8585347985 |
Enumeration Date | 2011-08-02 |
Last Update Date | 2011-08-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | F5668 | CA | Allopathic & Osteopathic Physicians |
Street Address |
UCSD SHILEY EYE CTR 9415 CAMPUS POINT DRIVE, 0946 |
City | LA JOLLA |
State | CA |
Zip Code | 92093-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
1225490147 | Karen Tye | Student in an Organized Health Care Education/Training Program | 3960 Health Sciences Drive, La Jolla, CA 92093 | 2016-03-22 |
1457716615 | Christine Pulido | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive #0851, La Jolla, CA 92093 | 2015-12-15 |
1467830489 | Justin Arshed Shaya | Internal Medicine | 3855 Health Sciences Dr #0829, La Jolla, CA 92093 | 2015-05-11 |
1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
1528488350 | Arlene Bravo | General Practice | 9500 Gilman Dr # Mc0656, La Jolla, CA 92093 | 2014-04-19 |
1710237391 | Chaitanya Pabbati | Psychiatry & Neurology | 9500 Gillman Drive #9116a, La Jolla, CA 92093 | 2012-09-11 |
Find all providers in zip 92093 |
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 |
---|---|---|---|---|
1750923108 | Sasan Moghimi Araghi | Ophthalmology | Shiley Eye Institute Room 251 9415 Campus Point Drive, La Jolla, CA 92093-0001 | 2019-10-16 |
1225377096 | Ernest Woodrow Hunt Jr. | Ophthalmology | 7955 Via Capri, La Jolla, CA 92037-4042 | 2013-02-13 |
1639457500 | Ronald A Schachar | Ophthalmology | 7241 Encelia Dr, La Jolla, CA 92037-5727 | 2011-07-26 |
1306173257 | Angela B Nahl | Ophthalmology | 9834 Genesee Ave Ste 428, La Jolla, CA 92037 | 2009-11-13 |
1710112941 | Diana Ng | Ophthalmology | 9834 Genesee Ave Ste 200, Eyecare of La Jolla, La Jolla, CA 92037-1225 | 2009-05-18 |
1518118124 | Brenda Breidenstein | Ophthalmology | 9415 Campus Point Dr Ste 113, La Jolla, CA 92093-0946 | 2008-10-02 |
1821246141 | Alex Ansun Huang | Ophthalmology | Shiley Eye Center Dept of Ophthalmology Oph, 9415 Campus Point Drive Mc0946, La Jolla, CA 92093-0946 | 2008-08-28 |
1588825129 | Shervin Alborzian | Ophthalmology | 9834 Genesee Ave Ste 209, La Jolla, CA 92037 | 2008-06-17 |
1194998906 | Pamela Vines Ombres | Ophthalmology | 1869 Caminito Brisa, La Jolla, CA 92037-5704 | 2008-04-12 |
1982872552 | Sujata Prabhu | Ophthalmology | Shiley Eye Ctr, 9415 Campus Point Drive, La Jolla, CA 92093-0946 | 2008-02-15 |
Find all providers in LA JOLLA |
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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.