Akirta Kour Sran, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003721 Issued in PA

Practice address

541 W Bacon St
Pottsville, PA 17901-3917

Phone

(570) 628-3937

Fax

(570) 622-2795

NPI assigned

May 20, 2020

Last updated

Mar 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Sandra M Krokos and Thomas P Kislan PCGroup PAC ID 6406842202, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Sandra M Krokos & Thomas P Kislan PC

  • Optometrist
  • Tannersville, PA
  • NPI 1487784005
  Medicare reassignment Care Compare group NPD
• DRS Sandra M Krokos & Thomas P Kislan PC

  dba Pottsville Eye Specialists

  • Optometrist
  • Pottsville, PA
  • NPI 1518579671
  NPD
• DRS Sandra M Krokos & Thomas P Kislan PC

  dba Bangor Eye Specialists

  • Optometrist
  • Tannersville, PA
  • NPI 1609634799
  NPD

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1619590924",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "5233 22 STREET",
            "city": "LLOYDMINSTER",
            "state": "ALBERTA",
            "postal_code": "T9V3G4"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W BACON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013917",
            "telephone_number": "570-628-3937",
            "fax_number": "570-622-2795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2942 Route 611 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Tannersville",
            "state": "PA",
            "postal_code": "183727924",
            "country_code": "US",
            "telephone_number": "570-421-3342",
            "fax_number": "570-421-8490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "281 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Hazle Township",
            "state": "PA",
            "postal_code": "182023320",
            "country_code": "US",
            "telephone_number": "570-453-2020",
            "fax_number": "570-453-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRAN",
        "first_name": "AKIRTA",
        "middle_name": "KOUR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Soubik, M.S., CCC-SLP
• Mikaela Grace Soubik, OTR/L
• Melinda Anthony Spolski, MS, NCC, LPC
• Lindsey Elizabeth Spotts, LCSW
• Rebecca Spotts, CRNP
• St Luke's Physician Group, Inc
• St. Luke's Physician Group, Inc. (Geisinger St. Luke's Pottsville Primary Care)
• Bernie P Stasko, ATC
• Beth Stephens, PTA
• Sterling Counseling Concepts LLC

• Optometrist in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.