Individual provider Active NPI

Jolie Alicia Kirtinitis-Turkmen, O.D.

  • Optometrist
  • Glendale, NY
National Provider Identifier
1285924779
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005662-1 Issued in NY
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

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000676 NY Practitioner - Optometry 1557547742 Reassigns benefits to 2 organizations

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
Maximeyes Optical IncGroup PAC ID 3375809031, 2 clinicians

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

LicenseStateTypeSpecialty
TA1314MDMDOptometrist
TUV005662-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyeglasses Forever LLC CurrentSince Oct 13, 2025 Accepting new patients
Maximeyes Optical Inc. Optometrist CurrentSince Jun 17, 2023 Accepting new patients
West & Stannish Opticians, Inc. PastSince Oct 13, 2025 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.

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

Verify at the official NPI Registry.