Ilya Mirensky

Primary specialty

OpticianTaxonomy code 156FX1800X

License

008920 Issued in NY

Practice address

6175 Strickland Ave
Brooklyn, NY 11234-6409

Phone

(718) 209-1435

NPI assigned

May 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Luiza Mirensky Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mill Basin Optical Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1487392494
  NPD
• Eiss Optical,Inc

  • Optician
  • Brooklyn, NY
  • NPI 1265618367
  NPD (past)

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1497492607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 STRICKLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346409",
            "telephone_number": "718-209-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 STRICKLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346409",
            "telephone_number": "718-209-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRENSKY",
        "first_name": "ILYA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIZA",
            "last_name": "MIRENSKY",
            "credential": "OPTOMETRIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tyler Miranda, DPM
• Wilson Miranda
• Nigina Mirazimova
• Ali Mirdamadi, M.D.
• Michelle Mireau, LMSW
• Jacob Mirer, PTA
• Anna Miretsky, LMSW
• Frank Mirharoon, D.D.S
• Miriam Gordon Pediatric NP PC
• Miriam Levy Licensed Behavior Analyst PC

• Optician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.