Individual provider Active NPI

Alla Zlotina, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1598707887
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV 006703 Issued in NY
Practice address
3511 Quentin Rd
Brooklyn, NY 11234-4230
Phone
(718) 377-1021
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV 006703 NY Primary

Addresses

Primary practice location

3511 Quentin Rd
Brooklyn, NY 11234-4230

Mailing address

273 Eltingville Blvd
Staten Island, NY 10312-2447
Phone (917) 554-1765

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000588 NY Practitioner - Optometry 0143215665 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV 006703NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Current Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Jan 1, 1992 Accepting new patients
State of New York Comptrollers Office CurrentSince Jan 1, 1992 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 31, 2021 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 31, 2021 Accepting new patients
Omni Eye Specialists P a PastSince Sep 1, 2014 Accepting new patients
Shandor Zelenger, O.D., P.C. Past Accepting new patients
Borotone, Inc. Past Accepting new patients
Jac Optical Optometrist Past Accepting new patients
Boro Audiology, Inc. PastSince Feb 14, 2020 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

University Eye Ctr
New York, NY 10087

227 Madison St
New York, NY 10002
Phone (212) 238-7000

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

50 Water St
Fl 3
New York, NY 10004

165 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 616-0999

Interoperability endpoints

  • Direct secure messaging: roytman@gyeyecare.eyefinity-direct.com
  • Direct secure messaging: azlotina575134@nychhc.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: azlotina@gyeyecare.eyefinity-direct.com

Organizations & group practices 11

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1598707887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 ELTINGVILLE BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122447",
            "telephone_number": "917-554-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344230",
            "telephone_number": "718-377-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLOTINA",
        "first_name": "ALLA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 006703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.