Physician Compare National (NPI:1952440158)

HEALTHCARE PROVIDER: GREGORY ALEXANDER KRASKOWSKY O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1952440158
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375638497
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071004000658
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KRASKOWSKY
	Individual professional last name
Provider First Name	GREGORY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3201 DANVILLE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 165
	Group Practice or individual's line 2 address
City	ALAMO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945071938
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y