Janet Leah Izrailova, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008610-1 Issued in NY

Practice address

10306 Roosevelt Ave
Corona, NY 11368-2330

Phone

(718) 424-1333

NPI assigned

Jul 24, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Corona Optometry PC

  • Optometrist
  • Corona, NY
  • NPI 1760817191
  NPD (past)

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033632823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9952 64TH AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742645",
            "telephone_number": "718-997-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682330",
            "telephone_number": "718-424-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3781 Junction Blvd",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "NY",
            "postal_code": "113681740",
            "country_code": "US",
            "telephone_number": "718-446-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1156 6th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100362702",
            "country_code": "US",
            "telephone_number": "646-852-6580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZRAILOVA",
        "first_name": "JANET",
        "middle_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008610-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avner Ismailov
• Eleonora Israilova
• Nicole Iuculano
• Cecilia Iwu Sr.
• Victoria Ogechi Iwuji
• Ja Lapaix MD
• Irfan Jadavji, M.D.
• Jameela Medical PLLC
• Tenzin Jampa
• Nicole Joanne Jara, BA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.