Active NPI
Galina Niyazov, O.D.
- Optometrist
- Forest Hills, NY
National Provider Identifier
1316352370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008170
- Practice address
- 6373 108TH St
Forest Hills, NY 11375-1607 - Phone
- (718) 896-2020
- Fax
- (718) 459-3490
- NPI assigned
- Jun 27, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008170 | NY | Primary |
Addresses
Primary practice location
6373 108TH St
Forest Hills, NY 11375-1607
Mailing address
1305 E 18TH St Apt 4E
Brooklyn, NY 11230-5330
Phone (718) 431-3945
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008170 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Optometry P.C | Optometrist | Current | Accepting new patients |
| Mega Vision Center II,LLC | Optometrist | Current | Accepting new patients |
| Luxury Vision Center Inc | Current | Accepting new patients | |
| Boris Kapelnik OD P.C. | Optometrist | Current | Accepting new patients |
Locations
1302 Kings Hwy
Brooklyn, NY 11229
Phone (718) 376-2020
1125 Liberty Ave
Brooklyn, NY 11208
Phone (718) 235-7900
6373 108th St
Forest Hills, NY 11375
Phone (718) 459-3145
9519 63rd Dr
Rego Park, NY 11374
Phone (718) 459-2020
Organizations & group practices 4
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.
-
- Optometrist
- Rego Park, NY
- NPI 1427465293
-
- Optometrist
- Brooklyn, NY
- NPI 1548513922
-
- Eyewear Supplier
- Brooklyn, NY
- NPI 1720770555
-
- Optometrist
- Forest Hills, NY
- NPI 1912120700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1316352370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 E 18TH ST APT 4E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305330",
"telephone_number": "718-431-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6373 108TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751607",
"telephone_number": "718-896-2020",
"fax_number": "718-459-3490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIYAZOV",
"first_name": "GALINA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-27",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.