Individual provider Active NPI

Liaanora Katayeva

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1992315485
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009231 Issued in NY
Practice address
2464 Coney Island Ave Ste 3
Brooklyn, NY 11223-5009
Phone
(888) 389-3277
NPI assigned
Aug 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009231 NY Primary
Optometrist 152W00000X 1992315485 MI

Addresses

Primary practice location

2464 Coney Island Ave Ste 3
Brooklyn, NY 11223-5009

Mailing address

495 Washington Ave Apt 5C
Brooklyn, NY 11238-2328
Phone (347) 217-5618

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820001688 NY Practitioner - Optometry 2860897329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Vermont Dr
New Hyde Park, NY 11042-1128

28 Prospect Park SW
Brooklyn, NY 11215-7601

5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009231NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
A & D Medical, PC CurrentSince Jun 1, 2021 Accepting new patients

Locations

2464 Coney Island Ave
Ste 3
Brooklyn, NY 11223
Phone (718) 676-6464

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1992315485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 WASHINGTON AVE APT 5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382328",
            "telephone_number": "347-217-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 CONEY ISLAND AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235009",
            "telephone_number": "888-389-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATAYEVA",
        "first_name": "LIAANORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009231",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "1992315485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.