Individual provider Active NPI

Ella Krugolets

  • Optician
  • East Meadow, NY
National Provider Identifier
1487078408
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
006682 Issued in NY
Practice address
2201 Hempstead Tpke
East Meadow, NY 11554
Phone
(516) 572-6646
Fax
(516) 572-9477
NPI assigned
Feb 11, 2014
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 006682 NY Primary

Addresses

Primary practice location

2201 Hempstead Tpke
East Meadow, NY 11554

Mailing address

750 Lido Blvd Apt 81B
Lido Beach, NY 11561-5243
Phone (646) 420-1292

Other practice location 1

108 W Park Ave
Long Beach, NY 11561-3317
Phone (516) 255-7222

Other practice location 2

108 W Park Ave
Long Beach, NY 11561-3317
Phone (516) 255-7222

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

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1487078408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 LIDO BLVD APT 81B",
            "city": "LIDO BEACH",
            "state": "NY",
            "postal_code": "115615243",
            "telephone_number": "646-420-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "516-572-6646",
            "fax_number": "516-572-9477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "NY",
            "postal_code": "115613317",
            "country_code": "US",
            "telephone_number": "516-255-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "NY",
            "postal_code": "115613317",
            "country_code": "US",
            "telephone_number": "516-255-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUGOLETS",
        "first_name": "ELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "006682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.