DR. ALEKSANDR KOZLOV O.D.
NPI 1700138047
Optometrist in Suffield, CT

Q: What is Aleksandr Kozlov's NPI number?

The NPI number for Aleksandr Kozlov is 1700138047. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Q: What is Aleksandr Kozlov's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Aleksandr Kozlov was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since October 10, 2012PECOS EnrolledAccepts Medicare Assignment

162 MOUNTAIN RD, SUFFIELD, CT 06078(860) 668-0266(860) 668-5556 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2024, Mar 15, 2016 (2 updates tracked since 2016).

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About Dr. Aleksandr Kozlov O.d. NPPES

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

DR. ALEKSANDR KOZLOV O.D. (NPI 1700138047) is an individual optometrist in Suffield, Connecticut, licensed in Connecticut (3188) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2015).

NPPES Registry Identity

NPI1700138047

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. ALEKSANDR KOZLOVCredential: O.D.

Location Address162 MOUNTAIN RDSuffield, CT 06078-2091

Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780

Phone(860) 668-0266

Fax(860) 668-5556

Sole ProprietorYes

Medical School CMSPacific University - College Of OptometryGraduated 2015

Enumeration DateOctober 10, 2012

Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration

NPPES CertifiedOctober 4, 2024

✔ NPI 1700138047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in CT · 3188✔ Licensed in WA · 60570234

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

162 MOUNTAIN RD, Suffield, CT 06078

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Aleksandr Kozlov 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.

PECOS PAC ID5799217980

PECOS Enrollment IDI20241012000183

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

SUFFIELD EYE CARE, PLLC

Optometrist