MADELYN ANN OWCZARZAK KOWAL (OD) – Optometrist, NPI 1124912027

MADELYN ANN OWCZARZAK KOWAL (OD) is a healthcare provider. based in East lansing, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005873 (MI). The NPI Number for MADELYN ANN OWCZARZAK KOWAL (OD) is 1124912027

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MADELYN ANN OWCZARZAK KOWAL (OD)
NPI
1124912027
Phone
(517) 337-1668
Address
2001 COOLIDGE RD
Enumeration Date
5 June 2025
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5173371668
Graduation Year
2025 (1 year ago)
PAC ID
7517478126
Group Practice PAC ID
9335041409
Professional Enrollment ID
I20250619000403
Address ID
MI488231378EA2001XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,203 OPTOMETRY in MI

Provider Addresses for MADELYN ANN OWCZARZAK KOWAL (OD)

  • 2001 COOLIDGE RD

    EAST LANSING, MI 488231378

    Phone: (517) 337-1668

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250619000403IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48823)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335041409View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P H T H A L M O L O G YMI
-MI
O P H T H A L M O L O G YMI
-MI
O P T O M E T R YMI
-MI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

Where can patients find MADELYN ANN OWCZARZAK KOWAL (OD)'s NPI?
You can confirm MADELYN ANN OWCZARZAK KOWAL (OD) with NPI 1124912027; it appears in the national provider directory.
Is MADELYN ANN OWCZARZAK KOWAL (OD) active in the national directory?
MADELYN ANN OWCZARZAK KOWAL (OD)'s public NPI profile is in an active state.
What kind of provider is MADELYN ANN OWCZARZAK KOWAL (OD)?
The page reflects Optometrist for MADELYN ANN OWCZARZAK KOWAL (OD). Clinical services aligned with this taxonomy classification.
Does MADELYN ANN OWCZARZAK KOWAL (OD) practice in Michigan?
You will see East Lansing, Michigan on file for MADELYN ANN OWCZARZAK KOWAL (OD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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