Paola Jelena Burburan, OD
Individual provider Active NPI Optometrist · North New Hyde Park, NY
NPI 1154962744 · NPPES record last updated Oct 4, 2019
Key facts
- NPI
- 1154962744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 009043-01 (NY)
- Practice address
- 1981 Marcus Ave Ste E115
North New Hyde Park, NY 11042-1038 - Phone
- (516) 627-5113
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009043-01 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Eye Surgeons, PC | Current |
Accepting new patients |
Locations
1981 Marcus Ave
Ste E115
North New Hyde Park, NY 11042
Phone (516) 627-5113
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 009043-01 | NY | Yes |
Addresses
Primary practice location
1981 Marcus Ave Ste E115
North New Hyde Park, NY 11042-1038
Mailing address
1981 Marcus Ave Ste E115
North New Hyde Park, NY 11042-1038
Phone (516) 627-5113
Other providers in North New Hyde Park, NY
- Krysten L Avery
- Abigail Balch
- Brittany Bascetta
- William Bercha
- Carebuilders at Home, LLC
- Ankuri Desai
- Mary Elizabeth Goez
- Karen Hagerman
- Ann Hefferon Kilcarr
All providers in North New Hyde Park, NY · Optometrist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.