Ivan Klayman OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV2786 Issued in NY

Legal business name

IVAN KLAYMAN OD PC

Practice address

1146 Deer Park Ave
North Babylon, NY 11703-3102

Phone

(631) 586-5055

Fax

(631) 274-3683

NPI assigned

Nov 10, 2010

Last updated

Nov 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Klayman, ODNPI 1083698500

Title

President

Phone

(631) 586-5055

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivan Klayman, O.D.

  • Optometrist
  • North Babylon, NY
  • NPI 1083698500
  Authorized official Same address or phone
• Michael Bruce Levinson, OD

  • Optometrist
  • North Babylon, NY
  • NPI 1386722437
  NPD (past)

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1285935056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117033102",
            "telephone_number": "631-586-5055",
            "fax_number": "631-274-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117033102",
            "telephone_number": "631-586-5055",
            "fax_number": "631-274-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN KLAYMAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "KLAYMAN",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-586-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV2786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyprian Ikwuazom, RN
• Stella Azuka Ikwuazom, NURSE PRACTITIONER
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• Shankar P Iyer, MD
• Jacqueline M Spencer DO PC
• Shan Jaffery, FNP-BC
• James J Goetz
• Elsy Jean-Jacques, LPN

• Optometrist in North Babylon, NY
• Providers in North Babylon, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.