Krupa Tailor OD a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KRUPA TAILOR OD A PROFESSIONAL CORPORATION

Practice address

217 E Lake Ave
Watsonville, CA 95076-4716

Phone

(831) 724-3823

Fax

(831) 724-2605

NPI assigned

Oct 30, 2020

Last updated

Jan 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Krupa Tailor, O.D.NPI 1063897536

Title

Owner

Phone

(847) 219-0314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Krupa Tailor

  • Optometrist
  • Watsonville, CA
  • NPI 1063897536
  Medicare reassignment NPD Authorized official
• Alexis Winn, O.D.

  • Optometrist
  • Cupertino, CA
  • NPI 1891974101
  Medicare reassignment NPD
• Cari Lynn Moore, OD

  • Optometrist
  • Aiken, SC
  • NPI 1265572085
  NPD

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1568062248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E LAKE AVE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764716",
            "telephone_number": "831-724-3823",
            "fax_number": "831-724-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E LAKE AVE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764716",
            "telephone_number": "831-724-3823",
            "fax_number": "831-724-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUPA TAILOR OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-01-14",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "TAILOR",
        "authorized_official_first_name": "KRUPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-219-0314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julius Ming-Cheng Kong, DDS
• Lara Kono, PHARM.D
• Diana Z Kraushaar, M.D.
• Vit Daniel Kraushaar, M.D.
• Uttara Krishnan
• Jaclyn D'Orazio Kucharski, M.D.
• Byju Alexander Kuriakose
• Tiffany Kuwatani, PHARMD
• John Lacampagne, BCBA
• Hansa Lakamsani

• Optometrist in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.