Active NPI
Lyubomyra Kolesnyk
- Optician
- Brooklyn, NY
National Provider Identifier
1265600969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 008716-1
- Practice address
- 30 5TH Ave
Brooklyn, NY 11217-2023 - Phone
- (718) 622-2020
- NPI assigned
- Feb 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 008716-1 | NY | Primary |
| Ophthalmic Technician/Technologist | 156FX1100X | 008716-1 | NY |
Addresses
Primary practice location
30 5TH Ave
Brooklyn, NY 11217-2023
Mailing address
PO Box 290740
Brooklyn, NY 11229-0740
Phone (718) 915-0791
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008716-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victory Vision Care Inc. | Optician | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Brooklyn, NY
- NPI 1568643161
Optician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1265600969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290740",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112290740",
"telephone_number": "718-915-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112172023",
"telephone_number": "718-622-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLESNYK",
"first_name": "LYUBOMYRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "008716-1",
"primary": true
},
{
"code": "156FX1100X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic",
"state": "NY",
"license": "008716-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.