Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Roman S Kakzanov, OD

Individual provider Optometrist · NPI 1760897383

Dr. Roman S Kakzanov, OD is an Optometry in Richmond Hill, New York. Graduated from State University of New York - State College Optometry in 2014, 12 years ago. Practices with Ahava Medical and Rehabilitation Center, LLC, a 150-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2014
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

119-15 Atlantic Ave
Richmond Hill, NY 11418
Phone: (718) 805-0700
Fax: (718) 805-5621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV008183-1 (NY)

Record details

NPI number1760897383
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESSeptember 20, 2018

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2014 (12 years in practice)
Group practice Ahava Medical And Rehabilitation Center, Llc — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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