Kaitlyn Elizabeth Kolzow
Optometrist
108 Broughton Ave
Bloomfield
, New Jersey 07003-3999
Kaitlyn Elizabeth Kolzow
Optometrist
108 Broughton Ave
Bloomfield
, New Jersey 07003-3999
(973) 975-7125
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Kaitlyn Elizabeth Kolzow
- 84 Wintermute Rd
- Newton, NJ
- Zip : 07860-5407
- Phone : (973) 975-7125
Second Address
- Kaitlyn Elizabeth Kolzow
- 108 Broughton Ave
- Bloomfield, NJ
- Zip : 07003-3999
- Phone : (973) 743-1331
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 27OA00691600 | NJ |
National Provider Identifier
| NPI | 1003436791 |
|---|---|
| Provider Name | Kaitlyn Elizabeth Kolzow |
| First Address | Newton, NJ 07860-5407 |
| Second Address | Bloomfield, NJ 07003-3999 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2020 |
| Last Update Date | 22/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.