Active NPI
Natalia Dvorin, O.D.
- Optometrist
- South Richmond Hill, NY
National Provider Identifier
1982017000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 008135
- Practice address
- 11510 Liberty Ave
South Richmond Hill, NY 11419-1902 - Phone
- (917) 548-5003
- NPI assigned
- Jun 5, 2014
- 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 | 008135 | NY | Primary |
Addresses
Primary practice location
11510 Liberty Ave
South Richmond Hill, NY 11419-1902
Mailing address
11510 Liberty Ave
South Richmond Hill, NY 11419-1902
Phone (917) 548-5003
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160412002263 | NY | Practitioner - Optometry | 1153629902 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- natalia.dobrer@uprisedirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1982017000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11510 LIBERTY AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191902",
"telephone_number": "917-548-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11510 LIBERTY AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191902",
"telephone_number": "917-548-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DVORIN",
"first_name": "NATALIA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-05",
"last_updated": "2024-11-19",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.