Aleksandr Shimunov, OPTITION

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

007474-1 Issued in NY

Practice address

1550 University Ave
Bronx, NY 10452-1503

Phone

(917) 204-6655

Fax

(917) 819-3240

NPI assigned

Jul 25, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hall of Frames Opthalmic Dispensing PC

  • Optician
  • Bronx, NY
  • NPI 1619226784
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1003162280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 656766",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "917-204-6655",
            "fax_number": "917-819-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521503",
            "telephone_number": "917-204-6655",
            "fax_number": "917-819-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMUNOV",
        "first_name": "ALEKSANDR",
        "name_prefix": "Mr.",
        "credential": "OPTITION",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NY",
            "license": "007474-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Izabella Shimanova, OTR/L
• Tania J Shiminski-Maher, RNP
• Beth Shimlock, MD
• Sharon Doreen Shimonov, MA, CASAC-T
• Michelle Shimonova
• Dongmin Shin
• Ja Hyun Shin, MD
• Jooyoung Julia Shin, MD
• Mijung Shin
• Yoonhee Shin

• Technician/Technologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Technician/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.