| Dr Roman S Kakzanov, OD | |
|
119-15 Atlantic Avenue, Richmond Hill, NY 11418 | |
| (718) 805-0700 | |
| (718) 805-5621 |
| Full Name | Dr Roman S Kakzanov |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 12 Years |
| Location | 119-15 Atlantic Avenue, Richmond Hill, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760897383 | NPI | - | NPPES |
| 03966603 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV008183-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ahava Medical And Rehabilitation Center, Llc | 1557416997 | 107 |
| Provider Name | Perry Ave Family Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619973518 PECOS PAC ID: 0547365363 Enrollment ID: O20080131000457 |
| Provider Name | Ahava Medical And Rehabilitation Center, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184878274 PECOS PAC ID: 1557416997 Enrollment ID: O20090908000443 |
| Provider Name | Aj Vision Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801164702 PECOS PAC ID: 5799942843 Enrollment ID: O20120201000787 |
| Provider Name | Swift Optometry Care Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063753887 PECOS PAC ID: 9739321670 Enrollment ID: O20130806000524 |
| Provider Name | Pro Optics Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013171149 PECOS PAC ID: 6204070980 Enrollment ID: O20130919000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roman S Kakzanov, OD 105-24 64rd Forest Hills Apt 2s, Ny, NY 11375 Ph: (917) 476-7757 | Dr Roman S Kakzanov, OD 119-15 Atlantic Avenue, Richmond Hill, NY 11418 Ph: (718) 805-0700 |
You And Eye Vision Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: 11907 Jamaica Ave, Richmond Hill, NY 11418 Phone: 718-480-3750 Fax: 718-480-3751 | |
Dr. Osnat Aykelin, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8545 111th St, Richmond Hill, NY 11418 Phone: 917-484-3378 | |
Ny Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11915 Atlantic Ave, Richmond Hill, NY 11418 Phone: 718-805-0700 Fax: 718-805-5621 | |
Sergio Cisneros, OD Optometrist Medicare: Medicare Enrolled Practice Location: 11915 Atlantic Ave, Richmond Hill, NY 11418 Phone: 718-805-0700 Fax: 718-805-5621 | |
Michael Stephen Ferri, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 119-15 Atlantic Ave, Richmond Hill, NY 11418 Phone: 718-805-0700 | |
Dr. Miriam Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11915 Atlantic Ave, Richmond Hill, NY 11418 Phone: 718-805-0700 | |
Shreya Patel, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11915 Atlantic Ave, Richmond Hill, NY 11418 Phone: 718-805-0700 Fax: 718-805-0700 |