Active NPI
Sabina Oboukova, OD
- Optometrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 008865
- Practice address
- 33 W 42ND St
New York, NY 10036 - Phone
- (561) 929-9660
- NPI assigned
- Apr 16, 2018
- Last updated
- Aug 15, 2018
- 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 | 008865 | NY | Primary |
Addresses
Primary practice location
33 W 42ND St
New York, NY 10036
Mailing address
600 S Dixie Hwy Apt 830
West Palm Beach, FL 33401-5860
Phone (561) 929-9660
Other practice location 1
760 Broadway
Brooklyn, NY 11206-5317
Phone (561) 929-9660
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2204 Frederick Douglass Blvd
New York, NY 10026-1172
Phone (646) 895-9000
2613 E 16TH St
FL 2
Brooklyn, NY 11235-3805
Phone (718) 265-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008865 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronx Vision Group Inc | Optometrist | Current | Accepting new patients |
| State of New York Comptrollers Office | Optometrist | Current | Accepting new patients |
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Smart Medical PLLC | Current | Accepting new patients | |
| Harlem Vistasite Eye Care Inc | Optometrist | Current | Accepting new patients |
Locations
665 Pelham Pkwy N
Apt 102
Bronx, NY 10467
Phone (347) 324-4207
2613 E 16th St
Fl 2
Brooklyn, NY 11235
Phone (718) 265-9900
2204 Frederick Douglass Blvd
New York, NY 10026
Phone (646) 895-9000
33 W 42nd St
New York, NY 10036
Phone (212) 780-4930
33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930
University Eye Ctr
New York, NY 10087
Organizations & group practices 5
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.
-
- Optometrist
- New York, NY
- NPI 1942768387
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1902237233
-
- Optometrist
- Bronx, NY
- NPI 1184497240
-
dba Suny College of Optometry/University Eye Center
- Optometrist
- New York, NY
- NPI 1407829856
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1407343494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S DIXIE HWY APT 830",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015860",
"telephone_number": "561-929-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W 42ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10036",
"telephone_number": "561-929-9660"
}
],
"practiceLocations": [
{
"address_1": "760 Broadway",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112065317",
"country_code": "US",
"telephone_number": "561-929-9660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBOUKOVA",
"first_name": "SABINA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-16",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.