Vladislav Kagan

Primary specialty

OpticianTaxonomy code 156FX1800X

License

008614 Issued in NY

Practice address

83 5TH Ave
Suite a
Brooklyn, NY 11217-4654

Phone

(718) 636-4526

Fax

(718) 636-4505

NPI assigned

Sep 16, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1447583828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241129",
            "telephone_number": "718-496-5906",
            "fax_number": "718-636-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 5TH AVE",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112174654",
            "telephone_number": "718-636-4526",
            "fax_number": "718-636-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGAN",
        "first_name": "VLADISLAV",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Kagan
• Michael Sean Kagan, DO
• Miriam Kagan, LCAT
• Natalie Kagan, LCSWR
• Sofya Kagan, M.D.
• Yelena Kagan, O.D.
• Samantha Marie Kaganovskiy, M.S., CCC-SLP, TSSLD
• Dmitry Kaganovsky
• Elina Kaganovsky
• Irina Kaganskaya, MS IN SP. ED.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.