Active NPI
Robert Ustayev, OPT
- Optician
- Sunnyside, NY
National Provider Identifier
1316121494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 008747-1
- Practice address
- 4309 Greenpoint Ave
Sunnyside, NY 11104-3004 - Phone
- (718) 391-0003
- Fax
- (718) 391-0003
- NPI assigned
- Dec 25, 2007
- Last updated
- Mar 11, 2011
- Sex
- Male
- 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 | 008747-1 | NY | Primary |
Addresses
Primary practice location
4309 Greenpoint Ave
Sunnyside, NY 11104-3004
Mailing address
4309 Greenpoint Ave
Sunnyside, NY 11104-3004
Phone (718) 391-0003
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 |
|---|---|---|---|
| 008747-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BH Optical of Queens, Inc. | Optician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Quality & Fashion Optical
- Optometrist
- Sunnyside, NY
- NPI 1316125594
Optician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299801600000",
"number": "1316121494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 GREENPOINT AVE",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111043004",
"telephone_number": "718-391-0003",
"fax_number": "718-391-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 GREENPOINT AVE",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111043004",
"telephone_number": "718-391-0003",
"fax_number": "718-391-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USTAYEV",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "OPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-25",
"last_updated": "2011-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "008747-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.