Provider Demographics
NPI:1801101324
Name:SAGGESE, KRISTEN T (OD)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:T
Last Name:SAGGESE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KRISTEN
Other - Middle Name:T
Other - Last Name:SHIBLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:407 PARK AVE S APT 5F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8415
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35A E 35TH ST # 204
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3813
Practice Address - Country:US
Practice Address - Phone:212-683-2004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV-007542-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist