PETER J KAZANOVICZ (NPI# 1649454604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649454604 |
| Entity Type | Organization |
| Organization Name | PETER J KAZANOVICZ |
| Other Organization Name | D/B/A STUDLEY OCULAR LABORATORIES |
| Practice Address |
460 Lincoln St Worcester MA 01605-1918 |
| Mailing Address |
169 S River Rd Unit 14a Bedford NH 03110-6971 |
| Practice Telephone | 5087569900 |
| Practice Fax Number | 6036442354 |
| Mailing Telephone | 6036225200 |
| Mailing Fax Number | 6036442354 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | MR. PETER J KAZANOVICZ (BOARD CERTIFIED OCULARIST/OWNER) |
| Authorized Official Telephone | 6036225200 |
| Authorized Official Credential | B.C.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1530330 | 05 |
| Other Name | Type Code |
|---|---|
| d/b/a STUDLEY OCULAR LABORATORIES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710161773 | Peter J Kazanovicz | Prosthetic/Orthotic Supplier | 1685 Congress Street, Portland, ME 04102-2776 | 2007-12-26 |
| 1245413038 | Peter J Kazanovicz | Prosthetic/Orthotic Supplier | 169 S River Rd, Unit 14a, Bedford, NH 03110-6971 | 2007-12-14 |
| Street Address |
460 LINCOLN ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295088359 | Magay&barron Eye Center | Eyewear Supplier (Equipment, not the service) | 460 Lincoln St, Worcester, MA 01605-1918 | 2012-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261913 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 372 Chandler St Ste 104, Worcester, MA 01602-3314 | 2020-09-29 |
| 1669706719 | Womens Image Center | Prosthetic/Orthotic Supplier | 12 Winthrop Street, Suite 201, Worcester, MA 01604-4439 | 2009-09-22 |
| 1639142722 | Footit Surgical Supplies, Inc | Prosthetic/Orthotic Supplier | 1 W Boylston St Ste 201, Worcester, MA 01605-1274 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952961054 | Esteem Hair | Prosthetic/Orthotic Supplier | 43 Pearl St Apt 2, Dorchester, MA 02125-1815 | 2019-06-19 |
| 1477042489 | New England Orthotic & Prosthetic Systems, LLC | Prosthetic/Orthotic Supplier | 801 Main St Ste 8, Concord, MA 01742-3319 | 2018-05-04 |
| 1134636426 | Orthotics & Prosthetics Laboratories, Inc. | Prosthetic/Orthotic Supplier | 3500 Main St Ste 1, Springfield, MA 01107-1150 | 2018-01-08 |
| 1508317694 | Balance Salon, Inc | Prosthetic/Orthotic Supplier | 535 College Hwy, Southwick, MA 01077-9813 | 2016-10-24 |
| 1184083073 | Pioneer Valley Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 139 Damon Rd, Ste B11, Northampton, MA 01060-1832 | 2016-02-19 |
| 1598130239 | Boston Brace International Inc | Prosthetic/Orthotic Supplier | 2 Centennial Dr Ste 340b, Peabody, MA 01960-7919 | 2015-12-07 |
| 1306223417 | Orthotics & Prosthetics Laboratories, Inc. | Prosthetic/Orthotic Supplier | 700 North St, Unit 2, Pittsfield, MA 01201-4153 | 2015-04-28 |
| 1386047710 | Footit Medical Supply, Inc | Prosthetic/Orthotic Supplier | 340 Memorial Ave, West Springfield, MA 01089-4008 | 2014-09-30 |
| 1861747974 | A Step Ahead-boston, LLC | Prosthetic/Orthotic Supplier | 21 A Street, Burlington, MA 01803 | 2012-07-16 |
| 1679859607 | The Orthotic and Prosthetic Centers, LLC | Prosthetic/Orthotic Supplier | 124 Long Pond Rd Suite 3, Plymouth, MA 02360-2664 | 2011-10-21 |
| Find all providers with the same taxonomy | ||||
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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.