Larisa Mirakova

Primary specialty

OpticianTaxonomy code 156FX1800X

License

008101 Issued in NY

Practice address

Luxury Vision Center
1125 Liberty Ave
Brooklyn, NY 11208

Phone

(917) 471-9505

NPI assigned

Jul 27, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Luxury Vision Center Inc

  • Eyewear Supplier
  • Brooklyn, NY
  • NPI 1720770555

  Single Specialty

  NPD Authorized official
• You and Eye Vision Center Inc

  • Optometrist
  • Richmond Hill, NY
  • NPI 1043928237

  Single Specialty

  NPD

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1841971306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LUXURY VISION CENTER",
            "address_2": "1125 LIBERTY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11208",
            "telephone_number": "917-471-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LUXURY VISION CENTER",
            "address_2": "1125 LIBERTY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11208",
            "telephone_number": "917-471-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAKOVA",
        "first_name": "LARISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Touch PT PC
• Miracle Vision
• Miracles Can Happen
• Stephanie Lynn Miraglia, DPM
• Leonid Mirakov, RN
• Carlos Antonio Miranda Bello
• Alexandra Miranda, LMHC
• Carlos Ramon Miranda
• Catherine Reed Miranda, OT/L
• Damaris Miranda, PSYD, LMSW

• Optician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.