Robert Edward Krol, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

003461 Issued in NY

Practice address

8064 Brewerton Rd
Cicero, NY 13039-9584

Phone

(315) 698-0473

Fax

(315) 698-0498

NPI assigned

Nov 21, 2006

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Aurora of Central New York, Inc.

  • Voluntary or Charitable Agency
  • Syracuse, NY
  • NPI 1760532576
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1659446151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8064 BREWERTON RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399584",
            "telephone_number": "315-698-0473",
            "fax_number": "315-698-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8064 BREWERTON RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399584",
            "telephone_number": "315-698-0473",
            "fax_number": "315-698-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROL",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Kelly
• Meghan Jeannine Kennedy, LMHC
• Jessica Kinney
• Eleni Kosmas, MD
• KPH Healthcare Services, Inc.
• Lakeshore Family Medicine, P.C.
• Lisa Maria Lamontagne, M.S.CCC/SLP
• Olivia Lamontagne
• Solange Borgard Laurant
• Brandon Lavo

• Optometrist in Cicero, NY
• Providers in Cicero, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.