Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Justin Paul Kozloski, OD

Individual provider Optometrist · NPI 1407305097

Dr. Justin Paul Kozloski, OD is an Optometry in Indio, California. Qualified in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
10
Licensed in
CA, TX
In the registry since
2016
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

82227 US Highway 111 Ste B2
Indio, CA 92201-5668
Phone: (760) 347-6636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 33661 (CA)
Optometrist Taxonomy 152W00000X · Licence 9078T (TX)
Low Vision Rehabilitation Optometrist Taxonomy 152WL0500X · Licence 9078T (TX)

Record details

NPI number1407305097
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 24, 2016
Last updated in NPPESJanuary 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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