NPIMap

Organization Active NPI

K.M. Enterprises, Inc.

Doing business as Eyewear Unlimited

  • Optometrist
  • Liverpool, NY
National Provider Identifier
1538230685
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004146 Issued in NY
Legal business name
K.M. ENTERPRISES, INC.
Doing business as
Eyewear Unlimited
Krzyzak Eyecare
Practice address
4871 W Taft Rd
Liverpool, NY 13088-4819
Phone
(315) 451-4600
Fax
(315) 451-7710
NPI assigned
Nov 12, 2006
Last updated
Apr 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Dr. Richard B. Krzyzak, O.D.NPI 1013903632
Title
Owner
Phone
(315) 451-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV004146 NY Primary

Addresses

Primary practice location

4871 W Taft Rd
Liverpool, NY 13088-4819

Mailing address

4871 W Taft Rd
Liverpool, NY 13088-4819
Phone (315) 451-4600

Other names 2

  • Eyewear Unlimited Doing business as
  • Krzyzak Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040615000540 NY Part B Supplier - Clinic/Group Practice 8527042886 Receives reassigned benefits from 4 practitioners
Practice locations: Liverpool, NY
O20100930076427 NY DME Supplier - Physician - OptometristDME Supplier - Optician 8527042886 Practice locations: Liverpool, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
K.M. Enterprises Inc4871 W Taft Rd, Liverpool, NY 13088-4819(315) 451-4600 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jul 1, 2004

National Provider Directory

National Provider Directory

Locations

4871 W Taft Rd
Liverpool, NY 13088
Phone (315) 451-4600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1538230685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884819",
            "telephone_number": "315-451-4600",
            "fax_number": "315-451-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884819",
            "telephone_number": "315-451-4600",
            "fax_number": "315-451-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.M. ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "KRZYZAK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-451-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyewear Unlimited",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Krzyzak Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.