Andrey Ianovski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

353735 Issued in WI

Practice address

8661 S Howell Ave Ste 200
Oak Creek, WI 53154-2919

Phone

(414) 847-0164

NPI assigned

Jan 24, 2019

Last updated

Jan 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Shorewood, WI
  • NPI 1154699445
  Medicare reassignment NPD
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD
• America's Best Contacts & Eyeglasses

  • Optician
  • Oak Creek, WI
  • NPI 1285953794
  NPD (past)

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1376007229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 WEIDNER RD APT 502",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894753",
            "telephone_number": "440-212-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8661 S HOWELL AVE STE 200",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542919",
            "telephone_number": "414-847-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANOVSKI",
        "first_name": "ANDREY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "353735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karri Ann Huber, D.O.
• Kathryn Huber, OTR/L
• Debbi Hunley
• Hyatt Chiropractic SC
• Daniel Edward Hyatt, DC
• Ihc-Wheaton Anesthesia LLC
• Imr Oak Creek Opco, LLC
• Independent Nursing
• Inner Dynamics
• Emily Ruth Jaeger, MD

• Optometrist in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.