Individual provider Active NPI

Elina Niyazov, OD

  • Optometrist
  • Albertson, NY
National Provider Identifier
1013735901
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011063 Issued in NY
Practice address
40 Sunset Rd S
Albertson, NY 11507-1149
Phone
(347) 564-4479
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011063 NY Primary

Addresses

Primary practice location

40 Sunset Rd S
Albertson, NY 11507-1149

Mailing address

40 Sunset Rd S
Albertson, NY 11507-1149

Other practice location 1

5 Tudor City Pl
New York, NY 10017-6853
Phone (917) 924-2651

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814000869 NY Practitioner - Optometry 9638678048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Sunset Rd S
Albertson, NY 11507-1149

45 S Route 9W Unit 41 114
West Haverstraw, NY 10993-1053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011063NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Vision Optometry P.C. Optometrist CurrentSince Jul 1, 2025 Accepting new patients

Locations

1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200

260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

45 S Route 9W
Ste 41
West Haverstraw, NY 10993
Phone (845) 428-9006

Organizations & group practices 1

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1013735901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SUNSET RD S",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SUNSET RD S",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071149",
            "telephone_number": "347-564-4479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Tudor City Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176853",
            "country_code": "US",
            "telephone_number": "917-924-2651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIYAZOV",
        "first_name": "ELINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

Verify at the official NPI Registry.