Active NPI
Svetlana Suleymanova
- Optician
- Deer Park, NY
National Provider Identifier
1902461627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 008619
- Practice address
- 1944 Deer Park Ave
Deer Park, NY 11729-3327 - Phone
- (631) 918-4030
- Fax
- (631) 667-0018
- NPI assigned
- May 8, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 008619 | NY | Primary |
Addresses
Primary practice location
1944 Deer Park Ave
Deer Park, NY 11729-3327
Mailing address
11605 N Lamar Blvd
Austin, TX 78753-2658
Phone (737) 222-6996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008619 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1902461627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11605 N LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787532658",
"telephone_number": "737-222-6996",
"fax_number": "512-522-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1944 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117293327",
"telephone_number": "631-918-4030",
"fax_number": "631-667-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULEYMANOVA",
"first_name": "SVETLANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "008619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.