Individual provider Active NPI

Arnold Kraden, O.D.

  • Optometrist
  • Buffalo, NY
National Provider Identifier
1700857687
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
V003048-1 Issued in NY
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00631365MedicaidNY

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
V003048-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.