Leonard Fuzaylov, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

008487 Issued in NY

Practice address

15036 Union Tpke
Flushing, NY 11367-3928

Phone

(718) 591-3000

NPI assigned

Jul 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialty

Optometry

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Canarsie Optometry PC

  • Optometrist
  • Brooklyn, NY
  • NPI 1700491842
  Medicare reassignment NPD Authorized official
• Chelsea Optometry PLLC

  • Optometrist
  • New York, NY
  • NPI 1184488215
  Medicare reassignment NPD Authorized official
• Ny Optometrist Vision PC

  • Optometrist
  • Flushing, NY
  • NPI 1174014591
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1225480296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15036 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673928",
            "telephone_number": "718-591-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15036 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673928",
            "telephone_number": "718-591-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUZAYLOV",
        "first_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Fuzailov, PHARMD, BPS
• Boruch Fuzailov, RN
• Hanna M Fuzailov, FNP
• Rivka Fuzailov
• Eduard Fuzaylov, TEACHER
• Tzipora Fuzaylov, BA, CBS, IBCLC
• Ilana Fuzaylova, PHARMD
• Lyudmila Fuzaylova, FNP
• Alexandra Gadayeva
• Parimala Rani Gaddam

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.