Gutkovich Enterprises, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GUTKOVICH ENTERPRISES, INC

Practice address

1850 Veterans Memorial Highway
Islandia, NY 11749

Phone

(631) 851-1564

Fax

(631) 851-1688

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dmitry Gutkovich, O.D., M.B.A.

Title

Director

Phone

(718) 631-8211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386762540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24237A OAK PARK DR",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113622624",
            "telephone_number": "718-631-8211",
            "fax_number": "631-851-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 VETERANS MEMORIAL HIGHWAY",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "11749",
            "telephone_number": "631-851-1564",
            "fax_number": "631-851-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTKOVICH ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUTKOVICH",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-631-8211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., M.B.A."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth G Green, PH.D.
• Kereen S Gregory, LPN
• Diana Guaraca
• Johanna Guerrero-Dejesus, LMT
• Scott Guthart
• Dmitry Gutkovich, OD
• Nicole Elizabeth Halford, BCBA
• Emily Handley, OTR/L
• Aaron Hayfron
• Health Pointe of New York, LLC

• Optometrist in Islandia, NY
• Providers in Islandia, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.