Individual provider Active NPI

Galina Niyazov, O.D.

  • Optometrist
  • Forest Hills, NY
National Provider Identifier
1316352370
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008170 Issued in NY
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

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150313001524 NY Practitioner - Optometry 2062738826 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008170NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Optometry P.C Optometrist CurrentSince Jul 14, 2014 Accepting new patients
Mega Vision Center II,LLC Optometrist CurrentSince Aug 26, 2017 Accepting new patients
Luxury Vision Center Inc CurrentSince Feb 1, 2025 Accepting new patients
Boris Kapelnik OD P.C. Optometrist CurrentSince Jul 14, 2014 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.

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

Verify at the official NPI Registry.