Individual provider Active NPI

Karolina Uvaydova, OD

  • Optometrist
  • Rego Park, NY
National Provider Identifier
1891218889
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008604-2 Issued in NY
Practice address
9519 63Rd Dr
Rego Park, NY 11374-2024
Phone
(718) 997-8185
NPI assigned
Jul 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008604-2 NY Primary

Addresses

Primary practice location

9519 63Rd Dr
Rego Park, NY 11374-2024

Mailing address

6229 Dieterle Cres
Rego Park, NY 11374-4835

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205000275 NY Practitioner - Optometry 6002150869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10323 Metropolitan Ave
Forest Hills, NY 11375-6733
Phone (917) 330-4272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008604NYMDClinical Psychologist
TUV008604-2NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey Rosenblum, MD,PC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Vision Sense Optometry P.C. Optometrist CurrentSince Jan 27, 2022 Accepting new patients

Locations

10323 Metropolitan Ave
Forest Hills, NY 11375
Phone (917) 330-4272

220 Madison Ave
New York, NY 10016
Phone (212) 683-7330

Organizations & group practices 2

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": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1891218889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6229 DIETERLE CRES",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9519 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742024",
            "telephone_number": "718-997-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UVAYDOVA",
        "first_name": "KAROLINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008604-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.