Jason R Kolodziejczyk (NPI# 1124052626, PAC ID# 2769486513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1124052626 |
| PAC ID by PECOS | 2769486513 |
| Professional Enrollment ID | I20060908000359 |
| Full Name | Jason R Kolodziejczyk |
| Organization Legal Name | EYE CENTERS OF NORTHWEST OHIO LLC |
| Address |
2311 W Hayes Ave/suite B Fremont OH 43420-2634 |
| Phone Number | 4193348121 |
| Gender | M |
| Credential | OD |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2006 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0446314892 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 622 Pkwy Dr, Fostoria, OH 44830-1573 | 4194353482 | EYE CENTERS OF NORTHWEST OHIO LLC |
| 2311 W Hayes Ave/suite B, Fremont, OH 43420-2634 | 4193348121 | EYE CENTERS OF NORTHWEST OHIO LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 98% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 93% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 93% |
| Organization Legal Name | EYE CENTERS OF NORTHWEST OHIO LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexzandra A Rudinoff | Optometry | Eye Centers of Northwest Ohio LLC | 2311 W Hayes Ave/suite B, Fremont, OH 43420-2634 |
| Stacy P Rellinger | Optometry | Eye Centers of Northwest Ohio LLC | 2311 W Hayes Avenue/ B, Fremont, OH 43420-2634 |
| Gregory J Derodes | Optometry | Eye Centers of Northwest Ohio LLC | 2311 W Hayes Ave/suite B, Fremont, OH 43420-2634 |
| Susan E Smith | Ophthalmology | Eye Centers of Northwest Ohio LLC | 2311 W Hayes Avenue/ B, Fremont, OH 43420-2634 |
| Street Address |
2311 W HAYES AVE/SUITE B |
| City | FREMONT |
| State | OH |
| Zip | 43420-2634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexzandra A Rudinoff | Optometry | Eye Centers of Northwest Ohio LLC | 2311 W Hayes Ave/suite B, Fremont, OH 43420-2634 |
| Gregory J Derodes | Optometry | Eye Centers of Northwest Ohio LLC | 2311 W Hayes Ave/suite B, Fremont, OH 43420-2634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles L Valone | Internal Medicine | 1223 Oak Harbor Rd, Fremont, OH 43420-1020 | |
| Babar Sanaullah | Internal Medicine | 600 N Brush St, Fremont, OH 43420-1402 | |
| Ty N Tracy | Chiropractic | 444 N Stone St, Fremont, OH 43420-1530 | |
| Kelleen Porter | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Michael Coulter | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Thomas J Hallett Ii | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Samuel Rakyta | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Randal Scott Richardson | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Sarah M Tippie | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| William Bauer | Neurology | Advanced Neurologic Associates, Inc | 1303 W State St, Fremont, OH 43420-2016 |
| Find all physicians in zip 43420 | |||
| City | FREMONT |
| Zip Code | 43420 |
| Specialty | OPTOMETRY |
| City + Specialty | FREMONT + OPTOMETRY |
Please comment or provide details below to improve the information on Jason R Kolodziejczyk.
| 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.