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

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: August 09, 2026.

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

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
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

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
530 JACKSONVILLE DR
JACKSONVILLE BEACH, FL 32250
Pediatrics
530 JACKSONVILLE DR
JACKSONVILLE, FL 32250
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
530 JACKSONVILLE DR
JACKSONVILLE BEACH, FL 32250

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.

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.