DR. ROMAN S KAKZANOV OD
NPI 1760897383
Optometrist in Richmond Hill, NY

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
119-15 ATLANTIC AVENUE, RICHMOND HILL, NY 11418(718) 805-0700(718) 805-5621 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2018, Mar 14, 2017 (2 updates tracked since 2017).

About Dr. Roman S Kakzanov Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROMAN S KAKZANOV OD (NPI 1760897383) is an individual optometrist in Richmond Hill, New York, licensed in New York (TUV008183-1) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2014).

NPPES Registry Identity

NPI1760897383
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROMAN S KAKZANOVCredential: OD
Location Address119-15 ATLANTIC AVENUERichmond Hill, NY 11418
Mailing Address105-24 64rd Forest Hills Apt 2sNy, NY 11375 · (917) 476-7757
Fax(718) 805-5621
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2014
Enumeration DateJune 23, 2014
Last NPPES UpdateSeptember 20, 20182 updates tracked since enumeration
NPI 1760897383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NY · TUV008183-1
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.
119-15 ATLANTIC AVENUE, Richmond Hill, NY 11418

Other Identifiers 1

Medicaid03966603NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Roman S Kakzanov Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012135833
PECOS Enrollment IDI20140820000397
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
24 services24 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
23 services22 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
21 services21 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
16 services15 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
119-15 ATLANTIC AVENUE
RICHMOND HILL, NY 11418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roman Kakzanov's NPI number?

The NPI number for Roman Kakzanov is 1760897383. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Roman Kakzanov located?

Roman Kakzanov practices at 119-15 Atlantic Avenue, Richmond Hill, NY 11418. The listed phone number is (718) 805-0700.

What is Roman Kakzanov's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Roman Kakzanov enrolled in Medicare?

Yes. Roman Kakzanov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Roman Kakzanov accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Roman Kakzanov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roman Kakzanov was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.