Olga Kazachkova, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

007438 Issued in NY

Practice address

3060 Ocean Ave
Apt 3V
Brooklyn, NY 11235-3364

Phone

(646) 358-2959

NPI assigned

Jul 20, 2009

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• 154 Montague STR LLC

  dba Pearle Vision

  • Optometrist
  • Brooklyn, NY
  • NPI 1356166615
  Medicare reassignment NPD
• Kingsboro Optometric PC

  • Optometrist
  • Brooklyn, NY
  • NPI 1235361460
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1982834388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 OCEAN AVE",
            "address_2": "APT 3V",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353364",
            "telephone_number": "646-358-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 OCEAN AVE",
            "address_2": "APT 3V",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353364",
            "telephone_number": "646-358-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZACHKOVA",
        "first_name": "OLGA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamilya Kaysarova, PTA
• Kimberly Sue Kayuha, LMT
• Svetlana Kaz, MS, CCC-SLP, TSHH
• Iraida Kazachkova, D.O.
• Irina Arturovna Kazachkova, M.D.
• Maria Kazaki-Maher, LMSW
• Anna Kazakova, NP
• Jonathan Khedoori Kazam, M.D.
• Larisa Kazanchieva, M.S. CCC-SLP
• Rima Kazaryan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.