MR. VADIM KRUZHKOV (NPI# 1720225733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720225733 |
| Entity Type | Individual |
| Full Name | MR. VADIM KRUZHKOV |
| Practice Address |
764 Manhattan Ave Brooklyn NY 11222-2967 |
| Practice Telephone | 7183498313 |
| Mailing Telephone | 7183498313 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
007005 | NY | Eye and Vision Services Providers |
| Street Address |
764 MANHATTAN AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11222-2967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063517936 | Sunrx Optical Inc | Eyewear Supplier (Equipment, not the service) | 764 Manhattan Ave, Brooklyn, NY 11222-2967 | 2006-09-14 |
| 1245360106 | Vlad Gutt | Technician/Technologist | 764 Manhattan Ave, Brooklyn, NY 11222 | 2007-03-07 |
| 1679666093 | Judith Ann Stein | Ophthalmology | 764 Manhattan Ave, Brooklyn, NY 11222-2967 | 2006-09-30 |
| 1982700332 | Sophia Yu | Optometrist | 764 Manhattan Ave, Brooklyn, NY 11222-2967 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972073153 | Fizza Saeed | Chiropractor | 153 Greenpoint Ave, Brooklyn, NY 11222 | 2018-11-29 |
| 1659819977 | Sylwia Agnieszka Arancibia | Occupational Therapy Assistant | 47 Monitor St, Apt.1, Brooklyn, NY 11222 | 2017-02-07 |
| 1629524467 | Natalya Meykson | Licensed Practical Nurse | 595 Morgan Ave, 2nd Floor, Brooklyn, NY 11222 | 2016-08-31 |
| 1831556539 | Norma Jenkins | Registered Nurse | 131 Norman Avenue, Brooklyn, NY 11222 | 2016-01-26 |
| 1770952046 | Allison Nelson Romero | Counselor | 254 Driggs Ave, 3l, Brooklyn, NY 11222 | 2015-09-17 |
| 1255737821 | Shenell Evans | Psychologist | 231 Norman Ave Ste 212, Brooklyn, NY 11222 | 2014-11-10 |
| 1952728883 | Thomas Hays | Pediatrics | 41 Hausman St, Brooklyn, NY 11222 | 2014-03-28 |
| 1386079895 | Marissa Moore | Counselor | 252 Java St Ste 326, Brooklyn, NY 11222 | 2013-09-04 |
| 1619317401 | Stewart Lee Morales | Health Educator | 198 Calyer St., #1l, Brookklyn, NY 11222 | 2013-06-26 |
| 1871936534 | Reena Thomas | Family Medicine | 833 Manhattan Ave, Brooklyn, NY 11222 | 2013-04-12 |
| Find all providers in zip 11222 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952946626 | Bryan Reshawn Trusell | Technician/Technologist | 252 Java St Ste 222, Brooklyn, NY 11222-5598 | 2019-11-16 |
| 1639672058 | Eye Go Optical | Technician/Technologist | 989 Liberty Ave, Brooklyn, NY 11208-2731 | 2018-03-12 |
| 1508233214 | Nyc Optic | Technician/Technologist | 2135 Coney Island Ave, Brooklyn, NY 11223-3331 | 2015-08-28 |
| 1720319312 | Marvin Slomowitz | Technician/Technologist | 1221 E 9th St, Brooklyn, NY 11230-5107 | 2010-01-20 |
| 1932394343 | Samuel Herbst | Technician/Technologist | 5202 16th Ave, Brooklyn, NY 11204-1408 | 2007-09-09 |
| 1245301506 | Perfect Vision Management,inc. | Technician/Technologist | 120 Ditmas Ave, Brooklyn, NY 11218-5001 | 2006-11-10 |
| 1376506519 | Comfort Vision Inc. | Technician/Technologist | 1594 Flatbush Ave, Brooklyn, NY 11210-3030 | 2006-04-10 |
| 1740271352 | Alexander Goldshmidt | Technician/Technologist | 7401 18th Ave, Brooklyn, NY 11204-5613 | 2005-11-02 |
| 1023375987 | Bronislav Mednik | Technician/Technologist | 7516 3rd Ave, Brooklyn, NY 11209-3104 | 2012-04-17 |
| 1164691440 | Bruce Finkelstein | Technician/Technologist | 5903 1/2 Avenue N, Brooklyn, NY 11234-4129 | 2008-02-21 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.