Individual provider Active NPI

Lyudmila Milov, O.D.

  • Optometrist
  • Saddle Brook, NJ
National Provider Identifier
1871781740
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00611300 Issued in NJ
Practice address
40 Mayhill St
Saddle Brook, NJ 07663-5307
Phone
(201) 845-6634
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00611300 NJ Primary

Addresses

Primary practice location

40 Mayhill St
Saddle Brook, NJ 07663-5307

Mailing address

40 Mayhill St
Saddle Brook, NJ 07663-5307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080813000009 NJ Practitioner - Optometry 9335214204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony J Boni OD and Alicia N Dorman OD/PAGroup PAC ID 7315833829, 7 clinicians

Practice addresses (Care Compare)

40 Mayhill St
Saddle Brook, NJ 07663-5307
Phone (201) 845-6634

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony J Boni OD and Alicia N Dorman OD/PA Optometrist CurrentSince Sep 24, 2007 Accepting new patients

Locations

40 Mayhill St
Saddle Brook, NJ 07663
Phone (201) 843-4430

245 Paterson Ave
West Paterson, NJ 07424
Phone (973) 256-3912

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1871781740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAYHILL ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAYHILL ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635307",
            "telephone_number": "201-845-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOV",
        "first_name": "LYUDMILA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00611300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

Verify at the official NPI Registry.