Look up the most recent NPI and PECOS records

Katelyn Pawlowicz

Optometrist

Eye and Vision Services Providers

48873 Hayes Rd, Shelby Township, MI 48315-4405

PECOS Enrollment

Based on the most recent information from CMS, provider Katelyn Pawlowicz is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1578257176
Provider Type
Individual
Full Name
Pawlowicz, Katelyn
Title
Dr.
Credential
OD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/6/2023
Last Updated
12/11/2023

Contact Information

Practice Location

48873 Hayes Rd, Shelby Township, MI 48315-4405

(586) 247-2121

Unlisted Fax

Mailing Location

8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License 4901005683 Michigan

Katelyn Pawlowicz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Charbeneau, David Patrick

Shelby Macomb Vision Associates Inc

Maloney, Chad M

Paveglio, Anthony James

Myeyedr Optometry Of Michigan, Llc

Hammond, Theodore G.

Barry, Lisa

Leppek, Adrianna L.

Campion, Kyle John

Svs Vision Inc