Krystyn M Kudla (NPI# 1164805099, PAC ID# 4082973177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1164805099 |
| PAC ID by PECOS | 4082973177 |
| Professional Enrollment ID | I20180118000301 |
| Full Name | Krystyn M Kudla |
| Organization Legal Name | LAKE LAZER EYE CENTER PC |
| Address |
35776 Harper Ave Clinton Township MI 48035-3212 |
| Phone Number | 5867923891 |
| Gender | F |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2264535152 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 35776 Harper Ave, Clinton Township, MI 48035-3212 | 5867923891 | LAKE LAZER EYE CENTER PC |
| Organization Legal Name | LAKE LAZER EYE CENTER PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shabbir Khambati | Ophthalmology | Lake Lazer Eye Center PC | 35776 Harper Ave, Clinton Township, MI 48035-3212 |
| Nelson G Edwards | Optometry | Lake Lazer Eye Center PC | 44000 W 12 Mile Rd, Novi, MI 48377-2646 |
| Street Address |
35776 HARPER AVE |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip | 48035-3212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shabbir Khambati | Ophthalmology | Lake Lazer Eye Center PC | 35776 Harper Ave, Clinton Township, MI 48035-3212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nimmy Varughese | Physical Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Beth A Buchanan | Physical Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Carolyn Kessler-sprott | Occupational Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Mary G Shenouda | Occupational Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Chakradhar C Reddy | Internal Medicine | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Ghanshyam N Patel | Gastroenterology | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Jagatbhai A Amin | Internal Medicine | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Donna M Kelly | Chiropractic | 36410 Garfield Rd, Clinton Township, MI 48035-1131 | |
| Craig E Riffel | Chiropractic | 36620 Garfield Rd, Clinton Township, MI 48035-1134 | |
| Christopher Brioc | Chiropractic | 36620 Garfield Rd, Clinton Township, MI 48035-1134 | |
| Find all physicians in zip 48035 | |||
| City | CLINTON TOWNSHIP |
| Zip Code | 48035 |
| Specialty | OPTOMETRY |
| City + Specialty | CLINTON TOWNSHIP + OPTOMETRY |
Please comment or provide details below to improve the information on Krystyn M Kudla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.