Active NPI
Liliya Rakhimova
- Optician
- New York, NY
National Provider Identifier
1306147657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 0090911
- Practice address
- 520 8TH Ave
9TH Floor
New York, NY 10018-6507 - Phone
- (212) 729-5344
- NPI assigned
- Nov 3, 2010
- 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 | 0090911 | NY | Primary |
Addresses
Primary practice location
520 8TH Ave
9TH Floor
New York, NY 10018-6507
Mailing address
8028 Cooper Ave
Glendale, NY 11385-7711
Phone (718) 416-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11/03/2010 | Other | TODAYS APPLICATION DATE |
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 |
|---|---|---|---|
| 0090911 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1306147657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8028 COOPER AVE",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857711",
"telephone_number": "718-416-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 8TH AVE",
"address_2": "9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100186507",
"telephone_number": "212-729-5344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKHIMOVA",
"first_name": "LILIYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "0090911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TODAYS APPLICATION DATE",
"identifier": "11/03/2010",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.