John Kaknis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004539-0 Issued in NY

Practice address

4 Hudson Valley Professional PLZ
Newburgh, NY 12550-3101

Phone

(845) 561-3666

NPI assigned

Sep 21, 2005

Last updated

Apr 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crystal Run Healthcare Physicians LLPGroup PAC ID 6901792696, 366 clinicians

Hudson Valley Eye Doctor of Optometry PCGroup PAC ID 1153553847, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.01 of 100Reported as group

Quality

73.63

Promoting interoperability

100

Improvement activities

40

Cost

72.39

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crystal Run Healthcare Physicians LLP

  • General Practice Physician
  • Middletown, NY
  • NPI 1952376410
  Medicare reassignment Care Compare group NPD
• Hudson Valley Eye Doctor of Optometry PC

  • Optometrist
  • Newburgh, NY
  • NPI 1083044143
  Medicare reassignment Care Compare group NPD
• Dr. John Kaknis, O.D., P.C.

  • Optometrist
  • Newburgh, NY
  • NPI 1134317522
  Authorized official Same address or phone
• Crystal Run Healthcare Physicians LLP

  • Durable Medical Equipment & Medical Supplies
  • Monroe, NY
  • NPI 1558857425
  NPD
• Highland Ophthalmology Associates LLC

  • Ophthalmology Physician
  • New Windsor, NY
  • NPI 1184796591
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1053307512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HUDSON VALLEY PROFESSIONAL PLZ",
            "address_2": "P.O. BOX 2147",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503101",
            "telephone_number": "845-561-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HUDSON VALLEY PROFESSIONAL PLZ",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503101",
            "telephone_number": "845-561-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKNIS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004539-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "410043515",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DURABLE MEDICAL",
            "identifier": "0196240001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0196240001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C40521",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI",
            "identifier": "1134317522",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jr Medical Diagnostic PC
• Abbie L Jungermann, CRNA
• Durim Kaba
• Joseph Anthony Kaczmarek, M.D.
• Anand Emmanuel Kakkanatt, M.D.
• Megan Elizabeth Kaknis, D.O.
• Nedzat S Kalici, MD
• Howard Kallman, OD
• Lana Kalmus, BS
• Annmarie Kalotschke, MS, MHC

• Optometrist in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.