Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Kaknis, OD

Individual provider Optometrist · NPI 1053307512

Dr. John Kaknis, OD is an Optometry in Newburgh, New York. Qualified in 1985, 41 years ago. Practices with Crystal Run Healthcare Physicians LLP, a 366-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
41
Licensed in
NY
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4 Hudson Valley Professional Plz
Newburgh, NY 12550-3101
Phone: (845) 561-3666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV004539-0 (NY)

Record details

NPI number1053307512
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 21, 2005
Last updated in NPPESApril 22, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Crystal Run Healthcare Physicians Llp — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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