George Alex Kandel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV 003560 Issued in NY

Practice address

12015 Liberty Ave
South Richmond Hill, NY 11419-2117

Phone

(718) 843-2156

Fax

(718) 843-2164

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Complete Optometry Care PC

  • Corneal and Contact Management Optometrist
  • South Richmond Hill, NY
  • NPI 1255700118
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1912959859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192117",
            "telephone_number": "718-843-2156",
            "fax_number": "718-843-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192117",
            "telephone_number": "718-843-2156",
            "fax_number": "718-843-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDEL",
        "first_name": "GEORGE",
        "middle_name": "ALEX",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 003560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00329117",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jireh Eye Care LLC
• Monica Madhuri Jolly, DMD
• Simranpreet Kainth, MD
• Jonathan Bruce Kameros, D.D.S.
• Kamilla Ismailoff, MD, PC
• Nikki Kang
• Janise Lydia Kangombe, LMSW
• Siddiq Tariq Karim, D.D.S
• Kaur NP Family Health PC
• Kaur Therapy Solutions, Inc

• Optometrist in South Richmond Hill, NY
• Providers in South Richmond Hill, 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 4, 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.