Active NPI
Chaim Isaharov
- Optician
- Valley Stream, NY
National Provider Identifier
1841033172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- P127564
- Practice address
- 78 Rockaway Ave
Valley Stream, NY 11580-5809 - Phone
- (516) 341-0485
- NPI assigned
- Jun 14, 2024
- Last updated
- Jul 12, 2024
- Sex
- Male
- 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 | P127564 | NY | Primary |
Addresses
Primary practice location
78 Rockaway Ave
Valley Stream, NY 11580-5809
Mailing address
78 Rockaway Ave
Valley Stream, NY 11580-5809
Phone (516) 341-0485
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 |
|---|---|---|---|
| P127564 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glasses Guy 18Inc | Current | Accepting new patients |
Locations
78 Rockaway Ave
Valley Stream, NY 11580
Phone (516) 341-0485
Organizations & group practices 1
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": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1841033172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 ROCKAWAY AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805809",
"telephone_number": "516-341-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 ROCKAWAY AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805809",
"telephone_number": "516-341-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAHAROV",
"first_name": "CHAIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-14",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "P127564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.