Individual provider Active NPI

Tsylya U Vasserman, OPTICIAN

  • Optician
  • Ozone Park, NY
National Provider Identifier
1497782080
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
6952 Issued in NY
Practice address
Vision World 91-12a Atlantic Avenue
91-12A Atlantic Avenue
Ozone Park, NY 11416-1527
Phone
(718) 845-3737
Fax
(718) 641-8461
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 6952 NY Primary

Addresses

Primary practice location

Vision World 91-12a Atlantic Avenue
91-12A Atlantic Avenue
Ozone Park, NY 11416-1527

Mailing address

Vision World
91-12A Atlantic Avenue
Ozone Park, NY 11416-1527
Phone (718) 845-3737

Other identifiers 1

IdentifierTypeStateIssuer
01923826MedicaidNY

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
6952NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Cval Corporation Past Accepting new patients

Organizations & group practices 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497782080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VISION WORLD",
            "address_2": "91-12A ATLANTIC AVENUE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161527",
            "telephone_number": "718-845-3737",
            "fax_number": "718-641-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VISION WORLD 91-12A ATLANTIC AVENUE",
            "address_2": "91-12A ATLANTIC AVENUE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161527",
            "telephone_number": "718-845-3737",
            "fax_number": "718-641-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSERMAN",
        "first_name": "TSYLYA",
        "middle_name": "U",
        "name_prefix": "Mrs.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "6952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01923826",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.