Active NPI
Jolie Alicia Kirtinitis-Turkmen, O.D.
- Optometrist
- Glendale, NY
National Provider Identifier
1285924779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005662-1
- Practice address
- 6545 Myrtle Ave
Glendale, NY 11385-7028 - Phone
- (718) 366-7850
- Fax
- (718) 366-7851
- NPI assigned
- Apr 18, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005662-1 | NY | Primary |
| Optometrist | 152W00000X | TA1314 | MD |
Addresses
Primary practice location
6545 Myrtle Ave
Glendale, NY 11385-7028
Mailing address
190 Rockcrest Rd
Manhasset, NY 11030-3735
Phone (516) 627-7637
Other names 1
- Dr. Jolie Alicia Kirtinitis
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
200 W 24TH St
New York, NY 10011-1736
Phone (212) 929-3693
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA1314 | MD | MD | Optometrist |
| TUV005662-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyeglasses Forever LLC | Current | Accepting new patients | |
| Maximeyes Optical Inc. | Optometrist | Current | Accepting new patients |
| West & Stannish Opticians, Inc. | Past | Accepting new patients |
Locations
667 Franklin Ave
Garden City, NY 11530
Phone (516) 741-3706
200 W 24th St
New York, NY 10011
Phone (212) 929-3693
Organizations & group practices 3
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.
-
- Optometrist
- New York, NY
- NPI 1245760719
-
- Eyewear Supplier
- Garden City, NY
- NPI 1417725789
-
- Durable Medical Equipment & Medical Supplies
- Garden City, NY
- NPI 1003953266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1285924779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 ROCKCREST RD",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303735",
"telephone_number": "516-627-7637",
"fax_number": "516-627-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6545 MYRTLE AVE",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857028",
"telephone_number": "718-366-7850",
"fax_number": "718-366-7851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRTINITIS-TURKMEN",
"first_name": "JOLIE",
"middle_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-18",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005662-1",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1314",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOLIE",
"last_name": "KIRTINITIS",
"middle_name": "ALICIA",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 8, 2016; 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.