Irina Shiyan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT007372 Issued in NY

Practice address

170 2ND Ave
New York, NY 10003-5793

Phone

(212) 600-9279

Fax

(646) 582-1429

NPI assigned

Nov 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• East 78TH Optics Corp

  • Optometrist
  • New York, NY
  • NPI 1982874541
  NPD (past)
• New City Vision Inc

  • Optometrist
  • New York, NY
  • NPI 1649502519
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1972758449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352527",
            "telephone_number": "917-880-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035793",
            "telephone_number": "212-600-9279",
            "fax_number": "646-582-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIYAN",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT007372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "VUT007372",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Ashif Shium, MD
• Andrew Adam Shiva, PH.D.
• Shruthi Shivkumar
• Alesha Shivprasad
• Leena Shaleen Shiwbaran, M.D.
• Tatsunori Shizuku, BACHELOR OF MEDICINE
• Ronit Shkedi Brill
• Sharon Shkedi, PSY.D.
• Liat Lea Shklarski, MSW
• Loren Anne Shlaes, OTR/L, CTAT

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.