TAD R KOSANOVICH OD PA
NPI 1326218215
Eyewear Supplier in Englewood, FL

Active since March 06, 2008
150 S INDIANA AVE, ENGLEWOOD, FL 34223(941) 473-1392(941) 473-9379 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tad R Kosanovich Od Pa NPPES

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

TAD R KOSANOVICH OD PA (NPI 1326218215) is a healthcare organization registered as an eyewear supplier in Englewood, Florida and active in the NPI registry since March 2008. The organization lists Tad R Kosanovich, Owner, as its authorized official.

NPPES Registry Identity

NPI1326218215
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameTAD R KOSANOVICH OD PA
Location Address150 S INDIANA AVEEnglewood, FL 34223-3307
Mailing Address150 S Indiana AveEnglewood, FL 34223-3307 · (941) 473-1392 · Fax (941) 473-9379
Fax(941) 473-9379
Organization SubpartNo
Authorized OfficialTad R KosanovichOwner · (941) 473-1392
Enumeration DateMarch 6, 2008
✔ NPI 1326218215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
150 S INDIANA AVE, Englewood, FL 34223

Other Identifiers 1

Medicare NSC4214080001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tad R Kosanovich Od Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20101022000121Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tad R Kosanovich Od PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1285785527
150 S INDIANA AVE
Englewood, FL 34223
(941) 473-1392
✔ 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 Tad R Kosanovich Od PA's NPI number?

The NPI number for Tad R Kosanovich Od PA is 1326218215. It was assigned to this organization in the NPPES registry on March 6, 2008.

Where is Tad R Kosanovich Od PA located?

Tad R Kosanovich Od PA is located at 150 S Indiana Ave, Englewood, FL 34223. The listed phone number is (941) 473-1392.

What is Tad R Kosanovich Od PA's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Tad R Kosanovich Od PA enrolled in Medicare?

Yes. Tad R Kosanovich Od PA is registered in the Medicare PECOS enrollment system.

When is Tad R Kosanovich Od PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tad R Kosanovich Od PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Tad R Kosanovich Od PA. 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 Tad R Kosanovich Od PA was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.