NPIMap

Organization Active NPI

Leading Optometry, P.C.

  • Optometrist
  • Fresh Meadows, NY
National Provider Identifier
1306179775
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007417 Issued in NY
Legal business name
LEADING OPTOMETRY, P.C.
Practice address
7511 169TH St
Fresh Meadows, NY 11366-1337
Phone
(646) 209-3384
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Dr. Diana Ilyasova, O.D.NPI 1629302658
Title
Optometrist
Phone
(646) 209-3384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV007417 NY Primary

Addresses

Primary practice location

7511 169TH St
Fresh Meadows, NY 11366-1337

Mailing address

7511 169TH St
Fresh Meadows, NY 11366-1337
Phone (646) 209-3384

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1306179775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 169TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661337",
            "telephone_number": "646-209-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 169TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661337",
            "telephone_number": "646-209-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "ILYASOVA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "646-209-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.