Individual provider Active NPI

Niki Tsamis, O.D.

  • Optometrist
  • Corona, NY
National Provider Identifier
1811349681
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
56008488 Issued in NY
Practice address
3781 Junction Blvd
Corona, NY 11368-1740
Phone
(718) 424-1333
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 56008488 NY Primary

Addresses

Primary practice location

3781 Junction Blvd
Corona, NY 11368-1740

Mailing address

60 Sutton PL S
Apt 3HS
New York, NY 10022-4168
Phone (914) 439-5381

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
I20161018001821 NY Practitioner - Optometry 7517255987 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008488NYMDMental Health Counselor
56008488NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Corona Optometry, PC Optometrist CurrentSince Aug 30, 2016 Accepting new patients
Corona Optometry PC Optometrist PastSince Aug 30, 2016 Accepting new patients

Locations

10306 Roosevelt Ave
Corona, NY 11368
Phone (718) 424-1333

3781 Junction Blvd
Corona, NY 11368
Phone (718) 446-1333

Organizations & group practices 2

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1811349681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SUTTON PL S",
            "address_2": "APT 3HS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224168",
            "telephone_number": "914-439-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681740",
            "telephone_number": "718-424-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAMIS",
        "first_name": "NIKI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "56008488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

Verify at the official NPI Registry.