Organization
DR. JOHN KAKNIS, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KAKNIS O.D. (PRESIDENT)
(845) 561-3666
Entity
Organization
Contact information
Practice address
4 HUDSON VALLEY PROFESSIONAL PLAZA, NEWBURGH, NY 12550
(845) 561-3666
Mailing address
4 HUDSON VALLEY PROFESSIONAL PLAZA, NEWBURGH, NY 12550
(845) 561-3666
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004539
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134317522
NPI CORPORATE
—
01
—
410043515
MEDICARE RAIL ROAD
NY
01
—
4295032
AETNA
NY
01
—
502105
AETNA HMO
NY
01
—
597126
MVP
NY
01
—
C40521
MEDICARE PROF SEVICES
NY
01
—
P1971752
OXFORD
NY
Enumeration date
10/10/2007
Last updated
05/01/2008
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