Dr. Roman S Kakzanov

OD | Optometrist | 10+ years Exp


  
119-15 Atlantic Avenue, Richmond Hill
New York, 11418

 718-805-0700     718-805-5621Maps & Directions
Dr. Roman S Kakzanov is a Richmond Hill, New York based male Optometrist with 10 years of experience in Optometry. He completed his graduation from State University Of New York - State College Optometry in 2014. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Roman S Kakzanov is TUV008183-1 for Optometry in New York.
Dr. Roman S Kakzanov examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Profile:
Dr. Roman S Kakzanov speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Optometry
Credentials: OD
Experience: 10+ years
Medical School Attended:State University Of New York - State College Optometry
Graduation Year:2014
Gender:Male
Accepts Medicare Assignment:May Accept
Practice Address:119-15 Atlantic Avenue, Richmond Hill,
New York, 11418
Phone:718-805-0700
Fax:718-805-5621
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 7012135833
Enrollment ID: I20140820000397
NPI Number: 1760897383
NPI Enumeration Date: 23 Jun, 2014
NPI Last Update On: 20 Sep, 2018

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Roman S Kakzanov are as mentioned below.
License NumberSpecializationStateStatus
TUV008183-1Optometry New YorkPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Roman S Kakzanov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
03966603MedicaidNew York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 105-24 64rd Forest Hills Apt 2s,
Ny, New York
Zip: 11375
Phone Number: 917-476-7757
Fax Number: --
Patients can reach Dr. Roman S Kakzanov at 119-15 Atlantic Avenue, Richmond Hill, New York or can call to book an appointment on 718-805-0700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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