Individual provider Active NPI

Nadiya Oleksiv, O.D.

  • Optometrist
  • Portsmouth, NH
National Provider Identifier
1821448168
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0927 Issued in NH
Practice address
605 Lafayette Rd Ste 1
Portsmouth, NH 03801-5406
Phone
(603) 427-6600
Fax
(603) 427-6670
NPI assigned
Jun 17, 2016
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5140 MA
Optometrist 152W00000X 0927 NH Primary

Addresses

Primary practice location

605 Lafayette Rd Ste 1
Portsmouth, NH 03801-5406

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20160907002153 NH Practitioner - Optometry 0244526804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Brickyard SQ
Suite 11
Epping, NH 03042-4403
Phone (603) 347-8377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5140MAMDOptometrist
0927NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Dec 30, 2021 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Dec 30, 2021 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist Current Accepting new patients

Locations

827 Central Ave
Ste 3
Dover, NH 03820
Phone (603) 343-1123

1 Brickyard Sq
Ste 11
Epping, NH 03042
Phone (603) 347-8377

381 S Willow St
Manchester, NH 03103
Phone (603) 382-1414

7 Plaistow Rd
Ste 1
Plaistow, NH 03865
Phone (603) 382-1414

605 Lafayette Rd
Ste 1
Portsmouth, NH 03801
Phone (603) 427-6600

13 Indian Rock Rd
Windham, NH 03087
Phone (603) 792-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1821448168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 LAFAYETTE RD STE 1",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015406",
            "telephone_number": "603-427-6600",
            "fax_number": "603-427-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEKSIV",
        "first_name": "NADIYA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5140",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.