Kenneth Stanley Katta, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3825-1 Issued in NY

Practice address

844 Flatbush Ave
Brooklyn, NY 11226-3189

Phone

(718) 941-8585

NPI assigned

Jun 13, 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

Practice roles

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.

• MPM Optical Inc.

  • Eyewear Supplier
  • Glendale, NY
  • NPI 1598707317

  Optometrist

  NPD (past)
• Optical Warehouse Outlet of Brooklyn Inc

  • Exclusive Provider Organization
  • Brooklyn, NY
  • NPI 1982646477
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1407899248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SEELEY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181011",
            "telephone_number": "917-620-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263189",
            "telephone_number": "718-941-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTA",
        "first_name": "KENNETH",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "3825-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02385817",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Katsevman
• Sofya Katsevman, MS CCC-SLP
• Jessica Ann Katsiroubas, MD
• Lina Katsman, M.D.
• Valeriya Katsnelson, M.S, CCC-SLP
• Kattan Podiatry PC
• Aaron Kattan
• Charles Kattan, DPM
• David Kattan
• Karishma Katti

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.