MDS Optometry and Ophthalmic Dispensing PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MDS OPTOMETRY AND OPHTHALMIC DISPENSING PLLC

Practice address

1566A 1St Ave
New York, NY 10028-4004

Phone

(212) 217-1600

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Micheal Kakzanov

Title

Owner

Phone

(212) 217-1600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1851792055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566A 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566A 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284004",
            "telephone_number": "212-217-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS OPTOMETRY AND OPHTHALMIC DISPENSING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "KAKZANOV",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-217-1600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 12, 2014; 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.