Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALEKSANDR KOZLOV, O.D.
Active Sole ProprietorDR. ALEKSANDR KOZLOV, O.D. is a Optometrist healthcare provider located in SUFFIELD, Connecticut. NPI 1700138047 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SUFFIELD, CT
Registration Details
- NPI Number
- 1700138047
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2012 (13.701124069556 yrs)
- Last Updated
- Oct 4, 2024
- Licenses
-
60570234 (WA)3188 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
162 MOUNTAIN RDSUFFIELD, CT, 060782091Browse CT providers · Browse ZIP 06078
- Phone
- 8606680266
- Fax
- 8606685556
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in SUFFIELD, CT
| Name | Credential | NPI |
|---|---|---|
| LAURA ANNE MAFUZ | O.D. | 1447273719 |
| RICHARD J COLO | OD | 1538259767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.