Active NPI
Eliza Yaghoubian, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1972689255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 007105
- Practice address
- 33 W 42ND St
New York, NY 10036-8005 - Phone
- (212) 938-4400
- NPI assigned
- Oct 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 007105 | NY | Primary |
Addresses
Primary practice location
33 W 42ND St
New York, NY 10036-8005
Mailing address
60 Willow Park Ctr
Apt #3F
Farmingdale, NY 11735-1001
Phone (646) 431-4400
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glasses Guy 18Inc | Optometrist | Current | Accepting new patients |
| Differ Partners, LLC | Current | Accepting new patients | |
| Eyellusion Vision Center Incorporated | Current | Accepting new patients | |
| Eyellusion Vision Center Incorporated | Current | Accepting new patients | |
| Eyeglass Depot Optical | Past | Accepting new patients | |
| Mobile Medical Eye Care, P.C. | Past | Accepting new patients |
Locations
60 Willow Park Ctr
Apt 3F
Farmingdale, NY 11735
60 Willow Park Ctr
Farmingdale, NY 11735
Phone (631) 777-7283
78 Rockaway Ave
Valley Stream, NY 11580
Phone (516) 341-0485
6909 Roosevelt Ave
Woodside, NY 11377
Phone (718) 639-1392
Organizations & group practices 6
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.
-
- Optician
- Woodside, NY
- NPI 1245261593
-
- Optometrist
- Valley Stream, NY
- NPI 1194616813
-
- Eyewear Supplier
- Farmingdale, NY
- NPI 1487931804
-
- Optician
- Plainview, NY
- NPI 1952852360
-
- Eyewear Supplier
- Farmingdale, NY
- NPI 1912275397
-
- Ophthalmology Physician
- New York, NY
- NPI 1033269592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1972689255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 WILLOW PARK CTR",
"address_2": "APT #3F",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117351001",
"telephone_number": "646-431-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W 42ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100368005",
"telephone_number": "212-938-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGHOUBIAN",
"first_name": "ELIZA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-28",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.