Kakzanov, Michael

Kakzanov, Michael is an sole proprietor health care provider with primary practice located at 7221 Austin St , Forest Hills NY 11375-5354. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Kakzanov, Michael can be contacted via phone (718) 268-4040.

Contact Information

Primary practice address
7221 Austin St Forest Hills NY 11375-5354
Phone: (718) 268-4040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 006662 New York
Eye and Vision Services Providers / Sports Vision 152WS0006X 006662 New York

Profile Details

NPI number 1841378510
LBN Legal business name Kakzanov, Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jun 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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