Individual provider Active NPI

Konstantin Urman, OPTICIAN

  • Optician
  • Flushing, NY
National Provider Identifier
1447206610
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
7603 Issued in NY
Practice address
2521 Parsons Blvd
Flushing, NY 11354-1247
Phone
(718) 353-7352
Fax
(718) 353-7563
NPI assigned
May 26, 2006
Last updated
Dec 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 7603 NY Primary

Addresses

Primary practice location

2521 Parsons Blvd
Flushing, NY 11354-1247

Mailing address

2056 E 56TH St
Brooklyn, NY 11234-4721
Phone (718) 353-7352

Other identifiers 1

IdentifierTypeStateIssuer
02220735MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7603NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Appeal Inc. Current Accepting new patients
Parsons Vision Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1447206610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 E 56TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344721",
            "telephone_number": "718-353-7352",
            "fax_number": "718-353-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541247",
            "telephone_number": "718-353-7352",
            "fax_number": "718-353-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URMAN",
        "first_name": "KONSTANTIN",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "7603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02220735",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.