Michael Scott Krzyzak, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

TUV-007168-1 Issued in NY

Practice address

4871 W Taft Rd
Liverpool, NY 13088-4819

Phone

(315) 451-4600

Fax

(315) 451-7710

NPI assigned

Aug 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K.M. Enterprises IncGroup PAC ID 8527042886, 4 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 and National Provider Directory roles.

• K.M. Enterprises, Inc.

  • Optometrist
  • Liverpool, NY
  • NPI 1538230685

  Corneal and Contact Management

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1649460932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884819",
            "telephone_number": "315-451-4600",
            "fax_number": "315-451-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884819",
            "telephone_number": "315-451-4600",
            "fax_number": "315-451-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZYZAK",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV-007168-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KPH Healthcare Services, Inc.
• Lauren Michelle Kraus, M.S. CCC-SLP, TSSLD
• Patricia Kriegisch Kondapi, CCC-SLP
• Bonnie M Krisak
• Nicholas Kruger
• Richard B Krzyzak, OD
• Richard P Kulak, DO
• Maryjean Katherine Kulle, PH.D.
• Justin M Kurtz, RN, MSN, FNP-C
• Jackson Kwok, MD

• Corneal and Contact Management Optometrist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Corneal and Contact Management Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.