Individual provider Active NPI

Diana Shalamov, OD

  • Optometrist
  • Forest Hills, NY
National Provider Identifier
1356226898
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011249 Issued in NY
Practice address
10834 66TH Rd
Forest Hills, NY 11375-2239
Phone
(718) 268-4826
NPI assigned
Aug 6, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011249 NY Primary

Addresses

Primary practice location

10834 66TH Rd
Forest Hills, NY 11375-2239

Mailing address

10834 66TH Rd
Forest Hills, NY 11375-2239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10834 66TH Rd
Forest Hills, NY 11375-2239

7220 Austin St
Forest Hills, NY 11375-5355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011249NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Optics Inc Optometrist CurrentSince Nov 1, 2025 Accepting new patients

Locations

7220 Austin St
Forest Hills, NY 11375
Phone (718) 261-0739

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1356226898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10834 66TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10834 66TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752239",
            "telephone_number": "718-268-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALAMOV",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.