Organization Active NPI

Kraskowsky Optometry, Inc.

Doing business as Alamo Optometry

  • Optometrist
  • Alamo, CA
National Provider Identifier
1174050934
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11477 Issued in CA
Legal business name
KRASKOWSKY OPTOMETRY, INC.
Doing business as
Alamo Optometry
Practice address
3201 Danville Blvd
Suite 165
Alamo, CA 94507-1938
Phone
(925) 820-6622
Fax
(925) 820-5226
NPI assigned
May 11, 2017
Last updated
Aug 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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

Authorized official

Name
Dr. Gregory Kraskowsky, O.D.NPI 1952440158
Title
Owner
Phone
(925) 820-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11477 CA Primary

Addresses

Primary practice location

3201 Danville Blvd
Suite 165
Alamo, CA 94507-1938

Mailing address

3201 Danville Blvd
Suite 165
Alamo, CA 94507-1938
Phone (925) 820-6622

Other names 1

  • Alamo Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171012002098 CA Part B Supplier - Clinic/Group Practice 2769757046 Receives reassigned benefits from 1 practitioner
Practice locations: Alamo, CA

National Provider Directory

National Provider Directory

Locations

3201 Danville Blvd
Ste 165
Alamo, CA 94507
Phone (925) 820-6622

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660348800000",
    "number": "1174050934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 DANVILLE BLVD",
            "address_2": "SUITE 165",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071938",
            "telephone_number": "925-820-6622",
            "fax_number": "925-820-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 DANVILLE BLVD",
            "address_2": "SUITE 165",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071938",
            "telephone_number": "925-820-6622",
            "fax_number": "925-820-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRASKOWSKY OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A",
        "authorized_official_last_name": "KRASKOWSKY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-820-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.