KULAK OCULOFACIAL LLC
NPI 1013681774
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Jacksonville Beach, FL

Q: What is Kulak Oculofacial LLC's NPI number?

The NPI number for Kulak Oculofacial LLC is 1013681774. It was assigned to this organization in the NPPES registry on August 5, 2021.

Q: What is Kulak Oculofacial LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Active since August 05, 2021

530 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250(904) 775-5275(904) 853-1414 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2022, Nov 29, 2021, Aug 5, 2021 (3 updates tracked since 2021).

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About Kulak Oculofacial Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KULAK OCULOFACIAL LLC (NPI 1013681774) is a healthcare organization registered as an ophthalmic plastic and reconstructive surgery in Jacksonville Beach, Florida and active in the NPI registry since August 2021. The organization lists Amy Kulak, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1013681774

Entity TypeOrganization

Primary Taxonomy207WX0200X

Legal Business NameKULAK OCULOFACIAL LLC

Location Address530 JACKSONVILLE DRJacksonville Beach, FL 32250-3813

Mailing Address530 Jacksonville DrJacksonville Beach, FL 32250-3813 · (904) 775-5275 · Fax (904) 853-1414

Phone(904) 775-5275

Fax(904) 853-1414

Organization SubpartNo

Authorized OfficialAmy KulakOwner/authorized Official · (917) 715-2599

Enumeration DateAugust 5, 2021

Last NPPES UpdateJanuary 26, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2024

✔ NPI 1013681774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207WX0200X

Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Also ListedOphthalmologyTaxonomy 207W00000X

530 JACKSONVILLE DR, Jacksonville Beach, FL 32250

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kulak Oculofacial Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kulak Oculofacial LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Kulak, MD

Ophthalmology

NPI 1689823783

530 JACKSONVILLE DR
Jacksonville Beach, FL 32250

(904) 775-5275

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kulak Oculofacial LLC's NPI number?

The NPI number for Kulak Oculofacial LLC is 1013681774. It was assigned to this organization in the NPPES registry on August 5, 2021.

Where is Kulak Oculofacial LLC located?

Kulak Oculofacial LLC is located at 530 Jacksonville Dr, Jacksonville Beach, FL 32250. The listed phone number is (904) 775-5275.

What is Kulak Oculofacial LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Kulak Oculofacial LLC enrolled in Medicare?

Yes. Kulak Oculofacial LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kulak Oculofacial LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Kulak Oculofacial LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kulak Oculofacial LLC was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.