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

Roman Igorevich Krivochenitser, MD

Individual provider Ophthalmology Physician · NPI 1336553874

Roman Igorevich Krivochenitser, MD is an Ophthalmology in Grand Rapids, Michigan. Graduated from Michigan State University College of Human Medicine in 2014, 12 years ago. Practices with Verdier Eye Center PLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, Michigan and Wisconsin.

Years since qualifying
12
Trained at
Michigan State University College of Human Medicine
Licensed in
CO, MI, WI
In the registry since
2014
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 E Paris Ave SE Ste 130
Grand Rapids, MI 49546-3680
Phone: (616) 949-2001
Fax: (616) 949-8620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Wall Street, Ann Arbor, MI 48105-1912 — (734) 764-4190

Specialties & licences

Glaucoma Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0009X · Licence 4301105291 (MI)
Ophthalmology Physician Taxonomy 207W00000X · Licence DR0061743 (CO)
Ophthalmology Physician Taxonomy 207W00000X · Licence 5859-851 (WI)
Ophthalmology Physician Taxonomy 207W00000X · Licence 4301105291 (MI)
Glaucoma Specialist (Ophthalmology) Physician Taxonomy 207WX0009X · Licence DR0061743 (CO)

Record details

NPI number1336553874
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2014
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2014 (12 years in practice)
Group practice Verdier Eye Center Plc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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