Stan Fuzaylov, OPTHALMIC DESPENCER

Primary specialty

OpticianTaxonomy code 156FX1800X

License

009893 Issued in NY

Practice address

1295 1St Ave
New York, NY 10021-5584

Phone

(212) 535-4469

NPI assigned

May 5, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Hmy Ophthalmic Dispenser PC Inc

  • Optometrist
  • New York, NY
  • NPI 1841703972
  NPD (past) Authorized official

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1649626953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215584",
            "telephone_number": "212-535-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215584",
            "telephone_number": "212-535-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUZAYLOV",
        "first_name": "STAN",
        "credential": "OPTHALMIC DESPENCER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "009893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fuzaro Vision Group Inc
• Slava Fuzayloff, D.O.
• Abraham Fuzaylov
• Arsen Fuzaylov
• Eric David Fuzaylov, MD
• FW Comprehensive Medical Care PC
• Abby J Fyer, MD
• Eva Fyer, LCSW
• Minna Rebecca Fyer, MD
• William Robert Fyke III, MD/PHD

• Optician in New York, NY
• Providers in New York, 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 5, 2016; 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.