Active NPI
George J. Kaknis, OD
- Optometrist
- Fishkill, NY
National Provider Identifier
1598084477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV004908
- Legal business name
- GEORGE J. KAKNIS, OD
- Practice address
- 1054 Main St
Fishkill, NY 12524-1792 - Phone
- (845) 896-2017
- Fax
- (845) 897-5702
- NPI assigned
- May 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Stephanie L Riale
- Title
- Office Manager
- Phone
- (845) 896-2017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV004908 | NY | Primary |
Addresses
Primary practice location
1054 Main St
Fishkill, NY 12524-1792
Mailing address
1054 Main Street
Fishkill, NY 12524
Phone (845) 896-2017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10046614 | Other | NY | CDPHP |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Fishkill, NY
- NPI 1245215961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274140800000",
"number": "1598084477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 MAIN STREET",
"city": "FISHKILL",
"state": "NY",
"postal_code": "12524",
"telephone_number": "845-896-2017",
"fax_number": "845-897-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 MAIN ST",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125241792",
"telephone_number": "845-896-2017",
"fax_number": "845-897-5702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE J. KAKNIS, OD",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-18",
"last_updated": "2010-05-18",
"status": "A",
"authorized_official_last_name": "RIALE",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "845-896-2017",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV004908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10046614",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.