Active NPI
Sevada Hakobyan, OD
- Optometrist
- Jackson Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009065
- Practice address
- 3457 82ND St Ste 1F
Jackson Heights, NY 11372-2930 - Phone
- (718) 446-8100
- NPI assigned
- Oct 13, 2019
- Last updated
- Oct 13, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 009065 | NY | Primary |
Addresses
Primary practice location
3457 82ND St Ste 1F
Jackson Heights, NY 11372-2930
Mailing address
3410 84TH St Apt H2
Jackson Heights, NY 11372-3126
Phone (216) 571-5933
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4207 30TH Ave
Astoria, NY 11103-2910
Phone (718) 204-6667
5548 96TH St
Corona, NY 11368-3009
Phone (718) 271-4472
6240 Forest Ave
Ridgewood, NY 11385-1929
Phone (718) 418-0100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009065 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visual Ophthalmology Services, PC | Current | Accepting new patients |
Locations
4207 30th Ave
Long Island City, NY 11103
Phone (718) 204-6667
5629 Metropolitan Ave
Ridgewood, NY 11385
Phone (718) 418-0300
6240 Forest Ave
Ridgewood, NY 11385
Phone (718) 418-0100
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.
-
- Ophthalmologic Surgery Clinic/Center
- Corona, NY
- NPI 1982156535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570924800000",
"number": "1881236669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 84TH ST APT H2",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113723126",
"telephone_number": "216-571-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3457 82ND ST STE 1F",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113722930",
"telephone_number": "718-446-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKOBYAN",
"first_name": "SEVADA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-13",
"last_updated": "2019-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.