Active NPI
Lior Shemtovov, OPHTHALMIC DISPENSER
- Optician
- Brooklyn, NY
National Provider Identifier
1992298558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 009623-1
- Practice address
- 7217 3Rd Ave
Brooklyn, NY 11209-2132 - Phone
- (646) 671-0616
- Fax
- (347) 909-7893
- NPI assigned
- Jun 8, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 009623-1 | NY | Primary |
Addresses
Primary practice location
7217 3Rd Ave
Brooklyn, NY 11209-2132
Mailing address
7217 3Rd Ave
Brooklyn, NY 11209-2132
Phone (646) 671-0616
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009623-1 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LS Glasses Corp | Optician | Past | Accepting new patients |
Organizations & group practices 1
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
- Brooklyn, NY
- NPI 1346733912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1992298558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7217 3RD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112092132",
"telephone_number": "646-671-0616",
"fax_number": "347-909-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7217 3RD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112092132",
"telephone_number": "646-671-0616",
"fax_number": "347-909-7893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEMTOVOV",
"first_name": "LIOR",
"credential": "OPHTHALMIC DISPENSER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-08",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "009623-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.