DR. JUSTIN PAUL KOZLOSKI O.D.
NPI 1407305097
Optometrist in Indio, CA
About Dr. Justin Paul Kozloski O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUSTIN PAUL KOZLOSKI O.D. (NPI 1407305097) is an individual optometrist in Indio, California, licensed in California (33661) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Justin Paul Kozloski O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Justin Kozloski reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92136
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Sacramento, CA 95841
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Sacramento, CA 95841
- Reassigned Medicare billing, California enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIO, CA 92201
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 Justin Kozloski's NPI number?
The NPI number for Justin Kozloski is 1407305097. It was assigned to this individual provider in the NPPES registry on September 24, 2016.
Where is Justin Kozloski located?
Justin Kozloski practices at 82227 Us Highway 111 Ste B2, Indio, CA 92201. The listed phone number is (760) 347-6636.
What is Justin Kozloski's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Justin Kozloski enrolled in Medicare?
Yes. Justin Kozloski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Justin Kozloski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Kozloski reassigns Medicare benefits to 4 organizations: Family Optometric Associates Of California, Inc. (San Diego, CA), Permanente Medical Group Inc (Santa Clara, CA), (Sacramento, CA) and Matin Khoshnevis MD Inc (Sacramento, CA). Each 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 Justin Kozloski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Justin Kozloski was last updated on January 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Justin Paul Kozloski, O.D. · NPI 1407305097
Optometrist provider in Indio, California. Individual provider, active in the CMS NPPES registry since September 24, 2016.
## Identity
- **NPI:** 1407305097 (Entity type: Individual)
- **Enumerated:** September 24, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 33661 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 82227 US HIGHWAY 111 STE B2, Indio, CA 92201-5668
- **Phone:** (760) 347-6636
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Family Optometric Associates Of California, Inc. (NPI 1235501321, San Diego, CA); Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA); (NPI 1417908062, Sacramento, CA); Matin Khoshnevis MD Inc (NPI 1134173099, Sacramento, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1407305097) · Data from the CMS NPPES public registry.