Myra S. Krokoff, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV4793 Issued in NY

Practice address

46 W Sunrise Hwy
Valley Stream, NY 11581-1104

Phone

(516) 791-5300

Fax

(516) 791-5391

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 NY

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

State University of New York - State College Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wen Drew Optical CorpGroup PAC ID 1658490651, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Wen Drew Optical Corp

  dba Island Vision

  • Durable Medical Equipment & Medical Supplies
  • Valley Stream, NY
  • NPI 1760622575
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427133362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 PERRY AVENUE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115724233",
            "telephone_number": "516-536-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 W SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811104",
            "telephone_number": "516-791-5300",
            "fax_number": "516-791-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROKOFF",
        "first_name": "MYRA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV4793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Linda Kornsweig, MA CCC SLP
• Kelly Ann Kortis
• Sijo B Koruthu, PHARM D
• KQH Mental Health Counseling P.L.L.C.
• Rafael Shlomo Krakanovski, DPT
• Joseph Krol, OD
• Asha Kumar, MD
• Lauren Marie Kummant, M.D.
• Mateusz Kurtyka, DMD
• Lisa Kushnick

• Optometrist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Optometrist in New York

• 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.