Active NPI
Arnold Kraden, O.D.
- Optometrist
- Buffalo, NY
National Provider Identifier
1700857687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- V003048-1
- Practice address
- 20/20 Westside Eyecare
324 West Ferry St.
Buffalo, NY 14213-1957 - Phone
- (716) 883-4747
- Fax
- (716) 883-4764
- NPI assigned
- Jan 30, 2006
- Last updated
- Aug 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | V003048-1 | NY | Primary |
Addresses
Primary practice location
20/20 Westside Eyecare
324 West Ferry St.
Buffalo, NY 14213-1957
Mailing address
20/20 Westside Eyecare
324 West Ferry St.
Buffalo, NY 14213-1957
Phone (716) 883-4747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00631365 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| V003048-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven I Bench OD, PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1700857687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20/20 WESTSIDE EYECARE",
"address_2": "324 WEST FERRY ST.",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142131957",
"telephone_number": "716-883-4747",
"fax_number": "716-883-4764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20/20 WESTSIDE EYECARE",
"address_2": "324 WEST FERRY ST.",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142131957",
"telephone_number": "716-883-4747",
"fax_number": "716-883-4764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRADEN",
"first_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "V003048-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00631365",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.