Active NPI
David Nazginov
- Optician
- Woodhaven, NY
National Provider Identifier
1932615911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 9216 Jamaica Ave
Woodhaven, NY 11421-2107 - Phone
- (347) 475-0004
- NPI assigned
- Dec 28, 2017
- Last updated
- Dec 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | NY | Primary |
Addresses
Primary practice location
9216 Jamaica Ave
Woodhaven, NY 11421-2107
Mailing address
9216 Jamaica Ave
Woodhaven, NY 11421-2107
Phone (347) 475-0004
Other practice location 1
18136 Tudor Rd
Jamaica, NY 11432-1447
Phone (347) 285-9661
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Optical LTD | Current | Accepting new patients | |
| Fort Greene Vision Center | Current | Accepting new patients | |
| Woodhaven Optical LTD | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Eyewear Supplier
- Brooklyn, NY
- NPI 1831977297
-
- Eyewear Supplier
- Ozone Park, NY
- NPI 1902569072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1932615911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9216 JAMAICA AVE",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114212107",
"telephone_number": "347-475-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9216 JAMAICA AVE",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114212107",
"telephone_number": "347-475-0004"
}
],
"practiceLocations": [
{
"address_1": "18136 Tudor Rd",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114321447",
"country_code": "US",
"telephone_number": "347-285-9661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAZGINOV",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-28",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodhaven, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.