Michelle Bangiyev, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009497-01 Issued in NY

Practice address

4504 46TH St
Sunnyside, NY 11104-1702

Phone

(718) 784-2580

NPI assigned

Dec 19, 2021

Last updated

Dec 19, 2021By 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.

• Bronx Vision Group Inc

  • Optometrist
  • Bronx, NY
  • NPI 1184497240
  Medicare reassignment NPD
• Mega Vision Center II,LLC

  • Optometrist
  • Forest Hills, NY
  • NPI 1912120700
  Medicare reassignment NPD

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639872000000",
    "number": "1033879044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9876 QUEENS BLVD APT 2H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744333",
            "telephone_number": "917-601-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 46TH ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041702",
            "telephone_number": "718-784-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGIYEV",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-19",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009497-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edit Avodian, DDS
• Esin Aydinoglu
• Junelle Jodeen Bailey, RN
• Mihaela Balaescu, MD
• Jorge Alberto Ballestas, M.S. CCC-SLP
• Charles Barrios, LCSW
• Alayna Barton
• Joel Oliver Baxter I, REGISTERED NURSE
• Be Kind Physical Therapy PLLC
• Rowena Baticados Becit, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2021; 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.