Shahla Kokabiyan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

008891 Issued in NY

Practice address

6909 Roosevelt Ave
Flushing, NY 11377-2933

Phone

(718) 639-1392

NPI assigned

Oct 19, 2018

Sex

Female

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

Enrolled in NY, FL2 enrollments

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 2

Specialty

Optometry

Education

State University of New York - State College Optometry, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Eyellusion Vision Center Incorporated

  • Optician
  • Woodside, NY
  • NPI 1245261593
  Medicare reassignment NPD
• Friendly Eyes Optometry LLC

  • Clinic/Center
  • Pompano Beach, FL
  • NPI 1811708977
  Medicare reassignment NPD
• Eyellusion Vision Center Incorporated

  • Optician
  • Plainview, NY
  • NPI 1952852360
  NPD
• Ashbrook Eyecare, Inc

  • Optometrist
  • Ashburn, VA
  • NPI 1588420913
  NPD (past)

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1831665512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772933",
            "telephone_number": "718-639-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113772933",
            "telephone_number": "718-639-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKABIYAN",
        "first_name": "SHAHLA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kohanchi
• Erica Kohen, PHARMD
• Daniella Kohler
• Larisa Koifman, MD
• Lusiana Koka, CDN
• Amalia Kokalenios, OTR/L
• Gregory Komar, LCSW
• Jayasekharan Komerath, M.D.
• Lisa Kommatea-Steyer, PH.D
• Kondor Primary Care PLLC

• Optometrist in Flushing, NY
• Providers in Flushing, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.