Individual provider Active NPI

Yana Kuchynska, OD

  • Optometrist
  • Clifton, NJ
National Provider Identifier
1467137133
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2331DT Issued in KY
Practice address
134 Kingsland Rd Ste 3
Clifton, NJ 07014-1915
Phone
(973) 405-2548
Fax
(973) 777-2060
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00732800 NJ
Optometrist 152W00000X 2331DT KY Primary

Addresses

Primary practice location

134 Kingsland Rd Ste 3
Clifton, NJ 07014-1915

Mailing address

8320 Silver Fox Rd
Louisville, KY 40291-2671
Phone (347) 884-7497

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
2331DTKYMDOptometrist
27OA00732800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
National Vision, Inc. PastSince Nov 17, 2024 Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Jun 1, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1467137133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 SILVER FOX RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402912671",
            "telephone_number": "347-884-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 KINGSLAND RD STE 3",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141915",
            "telephone_number": "973-405-2548",
            "fax_number": "973-777-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHYNSKA",
        "first_name": "YANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00732800",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2331DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.