Clifford Krok, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10355-T Issued in CA

Practice address

1101 Pacific Ave
Suite E
Santa Cruz, CA 95060-7505

Phone

(831) 466-3937

Fax

(831) 466-3421

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

University of California - School of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Krok and Shen Optometrists IncGroup PAC ID 5496030686, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Krok and Shen Optometrists Inc

  • Optometrist
  • Santa Cruz, CA
  • NPI 1891999660
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346324712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PACIFIC AVE",
            "address_2": "SUITE E",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607505",
            "telephone_number": "831-466-3937",
            "fax_number": "831-466-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PACIFIC AVE",
            "address_2": "SUITE E",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607505",
            "telephone_number": "831-466-3937",
            "fax_number": "831-466-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROK",
        "first_name": "CLIFFORD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10355-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste F Krilanovich-Cook, RN
• Brinda Shree Krishnan, M.D.,
• Nancy Kristal-Sinai
• Natalie Kristensen
• Krok and Shen Optometrists Inc
• Stephanie Krok, O.D.
• Julie Krokidas
• Shannon Kromat
• John Anthony Kryvoruka
• Manas Kshirsagar, AD MS

• Optometrist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Optometrist in California

• 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.
• 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.