Active NPI
Liana Gouliak, OPHTHALMIC DISPENSER
- Optician
- Glen Oaks, NY
National Provider Identifier
1750487419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 008418-1
- Practice address
- 25923 Union Tpke
Glen Oaks, NY 11004-1248 - Phone
- (718) 347-7470
- Fax
- (718) 347-7493
- NPI assigned
- Sep 16, 2006
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 008418-1 | NY | Primary |
Addresses
Primary practice location
25923 Union Tpke
Glen Oaks, NY 11004-1248
Mailing address
25923 Union Tpke
Glen Oaks, NY 11004-1248
Phone (718) 347-7470
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
| License | State | Type | Specialty |
|---|---|---|---|
| 008418-1 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750487419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25923 UNION TPKE",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041248",
"telephone_number": "718-347-7470",
"fax_number": "718-347-7493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25923 UNION TPKE",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041248",
"telephone_number": "718-347-7470",
"fax_number": "718-347-7493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULIAK",
"first_name": "LIANA",
"name_prefix": "Mrs.",
"credential": "OPHTHALMIC DISPENSER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "008418-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.