SearchWisconsinOptometrist

Jacob Kozisek, OD

NPI 1306075635 · on the registry since 2009

Practice

Address
2253 W Mason St
Green Bay, WI 54303
Phone
(920) 327-7000
Fax
(920) 327-7005
Organisation at this address
Baycare Clinic Llp
Aurora Pharmacy Inc
Aurora Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
64

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin