Individual provider Active NPI

Thomas M Kaminska, OD

  • Optometrist
  • Cheektowaga, NY
National Provider Identifier
1720047483
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV3940-1 Issued in NY
Practice address
3356 Genesee St
Cheektowaga, NY 14225-5031
Phone
(716) 631-2020
Fax
(716) 633-3351
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV3940-1 NY Primary

Addresses

Primary practice location

3356 Genesee St
Cheektowaga, NY 14225-5031

Mailing address

3356 Genesee St
Cheektowaga, NY 14225-5031
Phone (716) 631-2020

Other identifiers 1

IdentifierTypeStateIssuer
442580141OtherNYRAILRAOD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080701000274 NY Practitioner - Optometry 7719059070 Reassigns benefits to 1 organization
Practice locations: Cheektowaga, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calhoun Eye Care and Optometry PCGroup PAC ID 3173538683, 4 clinicians

Practice addresses (Care Compare)

5488 Sheridan Dr
Suite 300
Williamsville, NY 14221-3888
Phone (716) 631-9970

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV3940-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoun Eye Care and Optometry PC CurrentSince Jun 15, 2020 Accepting new patients

Locations

5488 Sheridan Dr
Ste 300
Williamsville, NY 14221
Phone (716) 631-9970

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1720047483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 GENESEE ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142255031",
            "telephone_number": "716-631-2020",
            "fax_number": "716-633-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 GENESEE ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142255031",
            "telephone_number": "716-631-2020",
            "fax_number": "716-633-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKA",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV3940-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "442580141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.