Tewodros Kiros, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006487 Issued in NY

Practice address

1225 Gerard Ave
Eye Clinic 3Rd Floor
Bronx, NY 10452-8001

Phone

(718) 960-2813

Fax

(718) 960-2798

NPI assigned

Oct 26, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: tkiros839420@nychhc.direct-ci.com

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1356426100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CONVENT AVE",
            "address_2": "#33",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100316315",
            "telephone_number": "718-960-2813",
            "fax_number": "718-960-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GERARD AVE",
            "address_2": "EYE CLINIC 3RD FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528001",
            "telephone_number": "718-960-2813",
            "fax_number": "718-960-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIROS",
        "first_name": "TEWODROS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02321126",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Denise Kirkland, M.S.ED
• Carson Thomas Kirkpatrick, MD
• Lorrena Kirkwood
• Dawnette M Kirlew, RN
• Sertac Kirnaz, MD
• Abbe L Kirsch, CNM
• Ira H Kirschenbaum, M.D.
• Leon Kirschner, OTR
• Jorge Norberto Kirschtein, MD
• Hayley Sharon Kirsh, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.