Organization Active NPI

Anna Khesin Optometry PC

  • Optometrist
  • Richmond Hill, NY
National Provider Identifier
1538848593
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ANNA KHESIN OPTOMETRY PC
Practice address
11402 Jamaica Ave
Richmond Hill, NY 11418-2442
Phone
(718) 480-8412
Fax
(718) 480-8414
NPI assigned
Jul 17, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Mrs. Anna Khesin, OD
Title
OD/Owner
Phone
(718) 480-8412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

11402 Jamaica Ave
Richmond Hill, NY 11418-2442

Mailing address

11402 Jamaica Ave
Richmond Hill, NY 11418-2442
Phone (718) 480-8412

National Provider Directory

National Provider Directory

Locations

11402 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 480-8412

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1538848593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182442",
            "telephone_number": "718-480-8412",
            "fax_number": "718-480-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182442",
            "telephone_number": "718-480-8412",
            "fax_number": "718-480-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA KHESIN OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A",
        "authorized_official_last_name": "KHESIN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "718-480-8412",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.