Organization Active NPI

George J. Kaknis, OD

  • Optometrist
  • Fishkill, NY
National Provider Identifier
1598084477
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004908 Issued in NY
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

Updated by the provider on May 18, 2010

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
10046614OtherNYCDPHP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.