Ira Krumholtz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA5160 Issued in NJ

Practice address

3391 Route 27
Suite 127
Franklin Park, NJ 08823

Phone

(732) 940-0735

NPI assigned

Feb 10, 2006

Last updated

Dec 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NJ, NY2 enrollments

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 2

Specialty

Optometry

Education

State University of New York - State College Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Ira Krumholtz O.D.,P.a.

  • Optometrist
  • Franklin Park, NJ
  • NPI 1265802995
  Medicare reassignment NPD Authorized official
• State of New York Comptrollers Office

  dba Suny College of Optometry/University Eye Center

  • Optometrist
  • New York, NY
  • NPI 1407829856
  Medicare reassignment NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD
• B & K Optical

  dba Eyesfirst Vision Center

  • Durable Medical Equipment & Medical Supplies
  • Franklin Park, NJ
  • NPI 1003003179
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1659344570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MARSHALL DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172911",
            "telephone_number": "732-819-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 ROUTE 27",
            "address_2": "SUITE 127",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "08823",
            "telephone_number": "732-940-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMHOLTZ",
        "first_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA5160",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T5261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis R Kares, RPH
• Ranjita Kasukurthi
• Mandeep Kaur, PHARM D
• Ayesha Kiran, M.D.
• Shubha C Kodamballi
• Legacy Treatment Serivces, Inc.
• Winifred Fong Leung, MD
• Haiying Liu, RPH
• Logoley Dialysis LLC (Franklin Park Dialysis)
• Bhanuprakash Mamidi

• Optometrist in Franklin Park, NJ
• Providers in Franklin Park, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.