Individual provider Active NPI

Raymond J Kolkmann

  • Optician
  • Jefferson Valley, NY
National Provider Identifier
1174664361
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
8608 Issued in NY
Practice address
3656 Lee Rd
Jefferson Valley, NY 10535-1512
Phone
(914) 345-5151
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 8608 NY Primary

Addresses

Primary practice location

3656 Lee Rd
Jefferson Valley, NY 10535-1512

Mailing address

58 Hillside View Rd
Mahopac, NY 10541-2521
Phone (914) 245-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8608NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond Opticians of Ossining,Inc. Optician Past Accepting new patients
Raymond Opticians of Yonkers Optician Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174664361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HILLSIDE VIEW RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105412521",
            "telephone_number": "914-245-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3656 LEE RD",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351512",
            "telephone_number": "914-345-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLKMANN",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "8608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.