Individual
DR. GEORGE JAMES KAKNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1073 MAIN ST, SUITE 106, FISHKILL, NY 12524-3513
(845) 896-2017
(845) 897-5702
Mailing address
1073 MAIN STREET, SUITE 106, FISHKILL, NY 12524-1792
(845) 896-2017
(845) 897-5702
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004908-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0749460001
DMERC
NY
01
—
10046614
CDPHP
NY
01
—
141769142
NYS EMPIRE PLAN
NY
01
—
497534
AETNA HMO
NY
01
—
597001
MVP
NY
01
—
C49951
BCBS
NY
01
—
P868482
OXFORD
NY
Enumeration date
12/15/2005
Last updated
05/11/2017
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