Gauhar Kanimetova, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

008766 Issued in NY

Practice address

457 Knickerbocker Ave
Brooklyn, NY 11237-5107

Phone

(718) 386-0021

Fax

(718) 386-0023

NPI assigned

Jun 27, 2018

Last updated

Sep 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Optometry P.C

  • Optometrist
  • Brooklyn, NY
  • NPI 1548513922
  Medicare reassignment NPD
• Lens Lab Optical 181 Inc

  • Optometrist
  • New York, NY
  • NPI 1356085393
  Medicare reassignment NPD
• Supreme Eyecare Center Corp

  dba Supreme Optical

  • Optometrist
  • Brooklyn, NY
  • NPI 1699493049
  Medicare reassignment NPD
• Grand Vision Optometry P.C.

  • Optometrist
  • Brooklyn, NY
  • NPI 1629374186
  NPD (past)
• Kraupner Pharmacy, Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1407949159
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1033604517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CANAL ST APT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375107",
            "telephone_number": "718-386-0021",
            "fax_number": "718-386-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANIMETOVA",
        "first_name": "GAUHAR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Han Kang, MD
• Sulyun Kang
• Kayleigh Kangas-Dick, PHD
• Darlene Kanhai
• Laura Kania
• Margaux Jenna Kanis, MD
• Yekaterina N Kanivets
• Laly Sreedharan Kaniyarathinkal, M.D.
• Thandiwe Evelyne Kanjanda, LPN
• Nabamita Kanjilal, DDS

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.