Individual provider Active NPI

Arno K Kuzukyan, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1629208780
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006156-1 Issued in NY
Practice address
645 Lexington Ave
Eyes on the World
New York, NY 10022-4502
Phone
(212) 355-8494
Fax
(212) 355-9796
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006156-1 NY Primary

Addresses

Primary practice location

645 Lexington Ave
Eyes on the World
New York, NY 10022-4502

Mailing address

645 Lexington Ave
Eyes on the World
New York, NY 10022-4502
Phone (212) 355-8494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006156-1NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1629208780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 LEXINGTON AVE",
            "address_2": "EYES ON THE WORLD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224502",
            "telephone_number": "212-355-8494",
            "fax_number": "212-355-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 LEXINGTON AVE",
            "address_2": "EYES ON THE WORLD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224502",
            "telephone_number": "212-355-8494",
            "fax_number": "212-355-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZUKYAN",
        "first_name": "ARNO",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006156-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.