Kevin A Patrizio, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00697 Issued in RI

Practice address

30 E 60TH St RM 201
New York, NY 10022-1085

Phone

(212) 355-5145

NPI assigned

Jun 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• DRS. Farkas, Kassalow, Resnick & Associates

  • Optometrist
  • Roslyn, NY
  • NPI 1619169711
  NPD (past)
• DRS. Farkas, Kassalow, Resnick & Associates, PC

  • Optometrist
  • New York, NY
  • NPI 1669671459
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1780200030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST RM 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221085",
            "telephone_number": "212-355-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST RM 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221085",
            "telephone_number": "212-355-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRIZIO",
        "first_name": "KEVIN",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00697",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "RI",
            "license": "ODTG00697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Stepp Patrick
• Sharon Patrick, MD
• Martha Patricof, LMSW
• Andrew Patrizio
• Armando Patrizio, MD
• Daiana Patrone, MS OTR/L
• Michael Patroni, PA-C
• Athos Patsalides, MD
• Johanis Thamar Patsikos, NURSE PRACTITIONER
• Dailey Pattee, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.