Active NPI
Vaishali Nigam
- Optometrist
- Valley Stream, NY
National Provider Identifier
1497985154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007429-1
- Practice address
- 77 Green Acres Rd
Valley Stream, NY 11581-1008 - Phone
- (516) 612-0528
- Fax
- (516) 887-2565
- NPI assigned
- Jul 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007429-1 | NY | Primary |
Addresses
Primary practice location
77 Green Acres Rd
Valley Stream, NY 11581-1008
Mailing address
45 Shelbourne LN
New Hyde Park, NY 11040-1038
Phone (516) 776-8751
Other practice location 1
6000 Brush Hollow Rd
Westbury, NY 11590-1702
Phone (516) 750-8349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007429-1 | NY | MD | Optometrist |
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.
-
- Optometrist
- Valley Stream, NY
- NPI 1790466720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1497985154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SHELBOURNE LN",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401038",
"telephone_number": "516-776-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 GREEN ACRES RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811008",
"telephone_number": "516-612-0528",
"fax_number": "516-887-2565"
}
],
"practiceLocations": [
{
"address_1": "6000 Brush Hollow Rd",
"address_purpose": "LOCATION",
"city": "Westbury",
"state": "NY",
"postal_code": "115901702",
"country_code": "US",
"telephone_number": "516-750-8349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIGAM",
"first_name": "VAISHALI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007429-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.