DR. KENT KRESOVICH


Address: 115 Rochester Street, Empire Vision Centers, Fulton, NY 13069
Phone: 3155988505

DR. KENT KRESOVICH (NPI# 1568423598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568423598
Entity Type Individual
Full Name DR. KENT KRESOVICH
Credential OD
Practice Address 115 Rochester Street
Empire Vision Centers
Fulton
NY 13069
Mailing Address 2921 Erie Blvd East
Syracuse
NY 13224
Practice Telephone 3155988505
Practice Fax Number 3155981166
Mailing Telephone 3154457465
Mailing Fax Number 3154457675
Enumeration Date 2006-03-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist TUV0051721 NY Eye and Vision Services Providers

Office Location

Street Address 115 ROCHESTER STREET
EMPIRE VISION CENTERS
City FULTON
State NY
Zip Code 13069

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023079878 Empire Vision Center Inc Optometrist 115 Rochester Street, Fulton, NY 13069-1732 2006-03-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588291454 Awilda Vega Johnston Counselor 92 N. 2nd St., #100, Fulton, NY 13069 2020-03-23
1174169346 Gabrielle Sunshine Chrestler Technician 2118 Co Rt 176, Fulton, NY 13069 2019-11-22
1558917310 Renee Omsby Technician 1323 County Rte 9, Fullton, NY 13069 2019-08-16
1194208488 Bridgette Lynn Godfrey Registered Nurse 167 South 4th Street, Fulton, NY 13069 2018-09-12
1205299195 Nu-ops, Inc Taxi 107 West 4th St So, Fulton, NY 13069 2016-03-30
1770909061 Siobhan Anne Walsh Licensed Practical Nurse 436 Rowlee Road, Fulton, NY 13069 2014-03-11
1982971743 Jennifer Lynn Scaringi Licensed Practical Nurse 505 Seneca St, Fulton, NY 13069 2011-11-22
1215242680 Meghan Kathleen Hill Physical Therapist 706 South 4th St, Fulton, NY 13069 2010-08-10
1659699064 Daniel Petrescu Physical Therapist 453 Park St., Michaud Residential Healthcare, Fulton, NY 13069 2010-05-10
1528212842 Robyn Elizabeth Mccann Licensed Practical Nurse 464 Red School House Road, Fulton, NY 13069 2008-11-13
Find all providers in zip 13069

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598182057 Edward Lauer Optometrist 7 Tucker Ln, Fulton, MO 65251-2317 2014-03-23
1619317377 Cagle Eye Center Optometrist 402 Access Rd, Fulton, MS 38843-6607 2013-06-26
1740416429 Joshua Michael Hatfield Optometrist 1310 E Walker St, Fulton, MS 38843 2009-06-08
1821205568 Katherine Louise Osborn Optometrist 1877a N. Bluff St., Fulton, MO 65251-2465 2007-05-16
1558410035 Laurie Wade Cagle Optometrist 301 Hospital Rd., Fulton, MS 38843-0519 2007-01-10
1003990193 Total Eye Care PC Optometrist 1310 E. Walker St., Fulton, MS 38843 2006-10-25
1043394208 Steve Beaty Optometrist 1310 East Walker Street, Fulton, MS 38843-0356 2006-10-24
1962501353 Sharon K Batek Optometrist 405 Court St, Fulton, MO 65251-1724 2006-09-21
1104930817 Nutaporn Sukontasup Optometrist 8115 Maple Lawn Blvd, Suite 135, Fulton, MD 20759-2681 2006-08-18
1154345551 Midwest Vision Clinic Plc Optometrist 1130 17th Street, Fulton, IL 61252 2006-07-27
Find all providers in FULTON

Competitor

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City FULTON
Zip Code 13069

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Dataset Information

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.

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