Liana Mironov, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008953 Issued in NY

Practice address

18 Heyward St
Brooklyn, NY 11249-9210

Phone

(917) 573-6114

NPI assigned

Jul 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

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.

• Compton Optometry PC

  • Corneal and Contact Management Optometrist
  • New York, NY
  • NPI 1023416393
  Medicare reassignment NPD
• Modern Vision, Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1366760019
  NPD (past)
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1447345517
  NPD (past)

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1861045502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 COLERIDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354106",
            "telephone_number": "917-573-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HEYWARD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112499210",
            "telephone_number": "917-573-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRONOV",
        "first_name": "LIANA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPFC93",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyudmila Mirochnik, DPM
• Regina Mirochnik, M.S. CCC-SLP
• Lowell S Miron, MA PSYCHOLOGIST
• Iryna Mironenko
• Svetlana Mironenko, N.P.
• Galina Mironova
• Irina Mironova
• Olga Mironova, PHARM D
• Inna Miroshnichenko, M.D.
• Carla Mirra, M.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.