Active NPI
Nadezhda Kalantarova, O.D.
- Optometrist
- Flushing, NY
National Provider Identifier
1013466275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008522-1
- Practice address
- 14754 76TH Rd
Mailbox 2 , 2ND Floor
Flushing, NY 11367-3140 - Phone
- (917) 744-9790
- NPI assigned
- Sep 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008522-1 | NY | Primary |
Addresses
Primary practice location
14754 76TH Rd
Mailbox 2 , 2ND Floor
Flushing, NY 11367-3140
Mailing address
14754 76TH Rd
Mailbox 2 , 2ND Floor
Flushing, NY 11367-3140
Phone (917) 744-9790
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008522-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Care Center Inc. | Current | Accepting new patients | |
| National Vision Care Center Inc | Optometrist | Past | Accepting new patients |
Locations
10219 Roosevelt Ave
Corona, NY 11368
Phone (718) 290-3566
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1013466275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14754 76TH RD",
"address_2": "MAILBOX 2 , 2ND FLOOR",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673140",
"telephone_number": "917-744-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14754 76TH RD",
"address_2": "MAILBOX 2 , 2ND FLOOR",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673140",
"telephone_number": "917-744-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALANTAROVA",
"first_name": "NADEZHDA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008522-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.