Park Avenue Optometry PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PARK AVENUE OPTOMETRY PLLC

Practice address

287 Park Ave S Ste 1a
New York, NY 10010-4573

Phone

(332) 345-2363

Fax

(332) 345-2364

NPI assigned

Nov 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Irina Shiyan, OD

Title

OD/Owner

Phone

(332) 345-2363

Specialties & licenses 1

Addresses

Other names 1

• Eyes On Park Doing business as

Locations

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1104581032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 PARK AVE S STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104573",
            "telephone_number": "332-345-2363",
            "fax_number": "332-345-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 PARK AVE S STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104573",
            "telephone_number": "332-345-2363",
            "fax_number": "332-345-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "SHIYAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "332-345-2363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes On Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.