| K.m. Enterprises, Inc. | |
|
4871 W Taft Rd, Liverpool, NY 13088-4819 | |
| (315) 451-4600 | |
| (315) 451-7710 |
| Full Name | K.m. Enterprises, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4871 W Taft Rd, Liverpool, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538230685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV004146 (New York) | Primary |
| Provider Name | Richard B Krzyzak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013903632 PECOS PAC ID: 1153305412 Enrollment ID: I20040623000544 |
| Provider Name | Michael S Krzyzak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649460932 PECOS PAC ID: 5092888461 Enrollment ID: I20080717000393 |
| Provider Name | Jennifer L Ashens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962120444 PECOS PAC ID: 5294101549 Enrollment ID: I20221012001031 |
| Mailing Address | Practice Location Address |
|---|---|
| K.m. Enterprises, Inc. 4871 W Taft Rd, Liverpool, NY 13088-4819 Ph: (315) 451-4600 | K.m. Enterprises, Inc. 4871 W Taft Rd, Liverpool, NY 13088-4819 Ph: (315) 451-4600 |
Richard B Krzyzak, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4871 W Taft Rd, Liverpool, NY 13088 Phone: 315-451-4600 Fax: 315-451-7710 | |
Benjamin Smith, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8395 Oswego Rd, Liverpool, NY 13090 Phone: 315-622-3500 | |
Dr. Brittany Taylor Neudecker, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3873 State Route 31 Ste 110, Liverpool, NY 13090 Phone: 315-652-5962 | |
Empire Vision Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: 7879 Oswego Rd, Route 57, Liverpool, NY 13090 Phone: 315-622-2000 Fax: 315-622-1257 | |
Regina M. Devito, O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3949 Route 31, Liverpool, NY 13090 Phone: 315-622-9269 | |
Dr. Thomas Joseph Wells, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 205 1st St, Liverpool, NY 13088 Phone: 315-457-7968 Fax: 315-457-8017 |