John Kaknis (NPI# 1053307512, PAC ID# 4082790415) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1053307512 |
| PAC ID by PECOS | 4082790415 |
| Professional Enrollment ID | I20080326000554 |
| Full Name | John Kaknis |
| Organization Legal Name | HUDSON VALLEY EYE DOCTOR OF OPTOMETRY PC |
| Address |
304 Fullerton Ave Newburgh NY 12550-3722 |
| Phone Number | 8455652020 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY |
| Graduation Year | 1985 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1153553847 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 304 Fullerton Ave, Newburgh, NY 12550-3722 | 8455652020 | HUDSON VALLEY EYE DOCTOR OF OPTOMETRY PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | HUDSON VALLEY EYE DOCTOR OF OPTOMETRY PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaina M Groo | Optometry | Hudson Valley Eye Doctor of Optometry PC | 304 Fullerton Ave, Newburgh, NY 12550-3722 |
| Street Address |
304 FULLERTON AVE |
| City | NEWBURGH |
| State | NY |
| Zip | 12550-3722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaina M Groo | Optometry | Hudson Valley Eye Doctor of Optometry PC | 304 Fullerton Ave, Newburgh, NY 12550-3722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernadette L Mayers | Nurse Practitioner | Np Family Health Visits and Np Adult Health Visits Pllc | 17 North Plank Rd, Suite 10, Newburgh, NY 12550 |
| Olamide Tubi | Nurse Practitioner | Np Family Health Visits and Np Adult Health Visits Pllc | 17 North Plank Rd, Suite 10, Newburgh, NY 12550 |
| Abidemi Akinkunmi | Nurse Practitioner | Np Family Health Visits and Np Adult Health Visits Pllc | 17 North Plank Rd, Suite 10, Newburgh, NY 12550 |
| Phiroza Modi | Internal Medicine | 8 White Sails Dr, Newburgh, NY 12550-1347 | |
| Rehan Ahmad | Endocrinology | 5159b Route 9w, Newburgh, NY 12550-1414 | |
| Syed Nasir | Internal Medicine | 5159 Rt 9w B, Brain Center of Hudson Valley, Newburgh, NY 12550-1452 | |
| Riaz A Chaudhry | Internal Medicine | 5159 Route 9w A, Newburgh, NY 12550-1452 | |
| Vijayalakshmi Rampam | Family Medicine | 169 N Plank Rd, Suite 3, Newburgh, NY 12550-1723 | |
| Anjali N Shah | Family Medicine | 169 N Plank Rd, Newburgh, NY 12550-1723 | |
| Don J Wilde | Clinical Psychologist | 1662 Route 300, Suite 97, Newburgh, NY 12550-1735 | |
| Find all physicians in zip 12550 | |||
| City | NEWBURGH |
| Zip Code | 12550 |
| Specialty | OPTOMETRY |
| City + Specialty | NEWBURGH + OPTOMETRY |
Please comment or provide details below to improve the information on John Kaknis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.