Individual provider Active NPI

Jolanta Agnieszka Wykowska, OPTICIAN

  • Optician
  • Glendale, NY
National Provider Identifier
1245455468
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C008153-1 Issued in NY
Practice address
6543 Myrtle Ave
Glendale, NY 11385-7028
Phone
(718) 366-7850
Fax
(718) 366-7851
NPI assigned
Apr 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X C008153-1 NY Primary

Addresses

Primary practice location

6543 Myrtle Ave
Glendale, NY 11385-7028

Mailing address

6543 Myrtle Ave
Glendale, NY 11385-7028
Phone (718) 366-7850

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
008153NYMDMental Health Counselor
C008153-1NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Voytek Consulting Corp. Optician CurrentSince Apr 5, 2007 Accepting new patients

Locations

6545 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-7850

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245455468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6543 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857028",
            "telephone_number": "718-366-7850",
            "fax_number": "718-366-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6543 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857028",
            "telephone_number": "718-366-7850",
            "fax_number": "718-366-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYKOWSKA",
        "first_name": "JOLANTA",
        "middle_name": "AGNIESZKA",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C008153-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.