Individual provider Active NPI

Sarah Evelyn Klibanoff, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1043466725
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV 6455 1 Issued in NY
Practice address
63 W 49TH St
New York, NY 10112-1501
Phone
(212) 765-4444
Fax
(212) 765-4459
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV 6455 1 NY Primary

Addresses

Primary practice location

63 W 49TH St
New York, NY 10112-1501

Mailing address

63 W 49TH St
New York, NY 10112-1501
Phone (212) 765-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV 6455 1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Studio Optix Inc Optometrist PastSince Jul 1, 2008 Accepting new patients

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1043466725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 W 49TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101121501",
            "telephone_number": "212-765-4444",
            "fax_number": "212-765-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W 49TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101121501",
            "telephone_number": "212-765-4444",
            "fax_number": "212-765-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIBANOFF",
        "first_name": "SARAH",
        "middle_name": "EVELYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 6455 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.