Nicholas Krevatas, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

FL3974 Issued in FL

Practice address

2251 N Federal Hwy
Sears Optical
Pompano Beach, FL 33062-1009

Phone

(954) 783-1169

Fax

(954) 781-0500

NPI assigned

May 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881806651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 ARTHUR ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330214968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N FEDERAL HWY",
            "address_2": "SEARS OPTICAL",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621009",
            "telephone_number": "954-783-1169",
            "fax_number": "954-781-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREVATAS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL3974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander P. Kowalczyk, MD
• Mark Andrew Kozitka
• Summer M Kozon
• Sheri Elyse Kramer, MASTERS EDUCATION
• Ruth Kreis-Orkoulas, ARNP
• Rosalia Krevatas, O.D.
• Dorienne Faline Kriegstein
• Jennille N Krietzer
• Katherine Rose Krochko, APRN, PMHNP-BC
• Kronos Labs LLC

• Optometrist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.