Individual provider Active NPI

Galina Kruglyakova, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1902859440
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006784 Issued in NY
Practice address
3511 Quentin Rd
Brooklyn, NY 11234-4230
Phone
(718) 377-1021
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006784 NY Primary

Addresses

Primary practice location

3511 Quentin Rd
Brooklyn, NY 11234-4230

Mailing address

2421 Ocean Ave
Apt 5B
Brooklyn, NY 11229-3566
Phone (718) 934-4625

Other identifiers 1

IdentifierTypeStateIssuer
02601843MedicaidNY

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
I20041108000359 NY Practitioner - Optometry 4385607720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Gy Optometry Care, PCGroup PAC ID 7618995549, 2 clinicians

Practice addresses (Care Compare)

3511 Quentin Rd
Brooklyn, NY 11234-4230
Phone (718) 377-1021

Merit-based Incentive Payment System (MIPS)

Final score
98.42 of 100Reported as individual
Quality
76.84
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006784NYMDOptometrist
006784NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gy Optometry Care, PC Optometrist CurrentSince Aug 2, 2005 Accepting new patients
Modern Vision, Inc Optometrist Past Accepting new patients

Locations

3511 Quentin Rd
Brooklyn, NY 11234
Phone (718) 377-1021

Interoperability endpoints

  • Direct secure messaging: kruglyakova@gyeyecare.eyefinity-direct.com

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1902859440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 OCEAN AVE",
            "address_2": "APT 5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293566",
            "telephone_number": "718-934-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344230",
            "telephone_number": "718-377-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGLYAKOVA",
        "first_name": "GALINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02601843",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.