Active NPI
Victoria Kravchenko, O.D.
- Optometrist
- Waldwick, NJ
National Provider Identifier
1205148244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007588
- Practice address
- 16 E Prospect St
Waldwick, NJ 07463-2008 - Phone
- (917) 690-4947
- NPI assigned
- Jul 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007588 | NY | Primary |
Addresses
Primary practice location
16 E Prospect St
Waldwick, NJ 07463-2008
Mailing address
2933 Broadway
New York, NY 10025-7801
Phone (212) 662-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16 E Prospect St
Waldwick, NJ 07463-2008
Phone (201) 559-3977
2933 Broadway
New York, NY 10025-7801
Phone (212) 662-0400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007588 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fuzaro Vision Group Inc | Current | Accepting new patients | |
| A2Z Eyecare PC | Optometrist | Current | Accepting new patients |
| Krishna Pharmacy Inc | Past | Accepting new patients | |
| Milan Optique Inc | Optometrist | Past | Accepting new patients |
| National Eyecare of Yonkers | Past | Accepting new patients |
Locations
16 E Prospect St
Waldwick, NJ 07463
Phone (201) 445-1100
2933 Broadway
New York, NY 10025
Phone (212) 662-0400
Organizations & group practices 5
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.
-
- Optometrist
- Waldwick, NJ
- NPI 1720705171
-
- Eyewear Supplier
- New York, NY
- NPI 1285392449
-
- Community/Retail Pharmacy
- Waldwick, NJ
- NPI 1760490395
-
- Optometrist
- Brooklyn, NY
- NPI 1013235373
-
- Exclusive Provider Organization
- Brooklyn, NY
- NPI 1295036705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1205148244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2933 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257801",
"telephone_number": "212-662-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 E PROSPECT ST",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074632008",
"telephone_number": "917-690-4947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAVCHENKO",
"first_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-07",
"last_updated": "2022-10-25",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldwick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.