Kosiba Optometry Ltd.
Clinic/Center in Cary, IL. Organization (NPI-2).
NPI number1407246788
StatusActive
Last updated in NPPESJan 26, 2015
Details
- NPI
- 1407246788
- Entity type
- Organization (NPI-2)
- Legal business name
- Kosiba Optometry Ltd.
- Organization subpart
- No
- Enumeration date
- Jan 26, 2015
- Last updated
- Jan 26, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 046-010473 | IL | Yes |
Practice location
485 Bristol WayCary, IL 60013-3400
Phone 815-347-4120
Mailing address
485 Bristol WayCary, IL 60013-3400
Phone 815-347-4120
Authorized official
Erica Kosiba
Doctor Of Optometry
8153474120
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