Active NPI
Jolanta Agnieszka Wykowska, OPTICIAN
- Optician
- Glendale, NY
National Provider Identifier
1245455468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- C008153-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 008153 | NY | MD | Mental Health Counselor |
| C008153-1 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Voytek Consulting Corp. | Optician | Current | 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.