Vadim Kruzhkov

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

007005 Issued in NY

Practice address

764 Manhattan Ave
Brooklyn, NY 11222-2967

Phone

(718) 349-8313

NPI assigned

Jan 13, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sunrx Optical Inc

  • Eyewear Supplier
  • Brooklyn, NY
  • NPI 1063517936
  NPD (past)

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1720225733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 MANHATTAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222967",
            "telephone_number": "718-349-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 MANHATTAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222967",
            "telephone_number": "718-349-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUZHKOV",
        "first_name": "VADIM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NY",
            "license": "007005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Krutiy, LCSW
• Edward Krutko
• Vyacheslav Krutoy, RRT
• Yuliana Krutoy, SLP
• Alla Kruz
• Mykola Krylyuk, DMD
• Irina Krym, M.D.
• Gitty Kryman
• Kori Krysh, CBC
• Jana Krystofova, M.D., PHD

• Ophthalmic Technician/Technologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ophthalmic Technician/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.