DR. MARINA KOTLYAR (NPI# 1164448569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164448569 |
| Entity Type | Individual |
| Full Name | DR. MARINA KOTLYAR |
| Credential | O.D. |
| Practice Address |
2100 Bartow Ave Suite 216c Bronx NY 10475-4614 |
| Practice Telephone | 7188623937 |
| Practice Fax Number | 6463493252 |
| Mailing Telephone | 7188623937 |
| Mailing Fax Number | 6463493252 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2009-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC3908 | FL | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPC3908 | FL | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
OPC3908 | FL | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
OPC3908 | FL | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
OPC3908 | FL | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
OPC3908 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 621051100 | 05 |
| Street Address |
2100 BARTOW AVE SUITE 216C |
| City | BRONX |
| State | NY |
| Zip Code | 10475-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518964923 | Advanced Dermatology of New York PC | Dermatology | 2100 Bartow Ave, Ste 211, Bronx, NY 10475-4614 | 2005-06-30 |
| 1427440445 | Paul Michael Williams | Dentist | 2100 Bartow Ave, 218b, Bronx, NY 10475-4614 | 2015-02-27 |
| 1164814588 | Sofia Kavakoglou | Dentist | 2100 Bartow Ave, #218b, Bronx, NY 10475-4614 | 2015-02-22 |
| 1659769602 | Hadeel Alkhairw | Internal Medicine | 2100 Bartow Ave, Bronx, NY 10475-4614 | 2014-12-29 |
| 1639504418 | Idalia R Mendez | Social Worker | 2100 Bartow Ave, Bronx, NY 10475-4614 | 2013-09-11 |
| 1023358009 | Chiropractic Motion Diagnostic. LLC | Chiropractor | 2100 Bartow Ave, Bronx, NY 10475-4614 | 2013-02-27 |
| 1891035150 | Vision Center Optical Inc | Technician/Technologist | 2100 Bartow Ave, Suite 216c, Bronx, NY 10475-4614 | 2013-02-25 |
| 1003168295 | Smile Savers Orthodo | Dentist | 2100 Bartow Ave, 218, Bronx, NY 10475-4614 | 2012-10-11 |
| 1295011195 | Dental Smiles Unlimited, PC | Clinic/Center | 2100 Bartow Ave, Suite 218b, Bronx, NY 10475-4614 | 2011-10-25 |
| 1811207210 | Advanced Dermatology of Coop City PC | Specialist | 2100 Bartow Ave, Suite 211, Bronx, NY 10475-4614 | 2010-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973048 | Sharon Antoinette Hall | Registered Nurse | 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 | 2019-07-11 |
| 1265912042 | Bartow Pharmacy Inc. | Pharmacy | 500-5 Baychester Ave. Store #5, Bronx, NY 10475 | 2018-08-21 |
| 1518465996 | Jacqueline Caraballo | Nurse Practitioner | 100 De Kruif Place Apt 27h, Bronx, NY 10475 | 2018-01-31 |
| 1093227142 | Rachel Obeng Mireku | Licensed Practical Nurse | 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 | 2017-10-30 |
| 1023534518 | Nelson Merritt Hall | Chiropractor | 2100 Bartow Ave, Ste #227, Bronx, NY 10475 | 2017-08-17 |
| 1245769363 | Sharon Holland Johnson | Licensed Practical Nurse | 140 Dekruif Pl, Bronx, NY 10475 | 2017-06-12 |
| 1740719152 | Nadia S Etienne | Licensed Practical Nurse | 120 De Kruif Place, Apt 18h, Bronx, NY 10475 | 2017-06-08 |
| 1407385891 | Ashley N Freeze | Case Manager/Care Coordinator | 140 Darrow Place Suite 24e, Bronx, NY 10475 | 2017-06-08 |
| 1912454091 | Usth.inc | Early Intervention Provider Agency | 120 Coop City Blvd, 21-f, Bronx, NY 10475 | 2016-09-06 |
| 1447626130 | Zelda Boomer | Registered Nurse | 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 | 2015-08-17 |
| Find all providers in zip 10475 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009175 | Designer Optical of Plains Parkway | Optometrist | 2196a White Plains Rd, Bronx, NY 10462-1406 | 2020-10-01 |
| 1235749045 | Jessica V Vaidya | Optometrist | 2480 Grand Concourse, Bronx, NY 10458-5201 | 2020-08-06 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1710540471 | Family Optometry 121 PC | Optometrist | 3300 Third Ave, Bronx, NY 10456-6748 | 2019-04-18 |
| 1942761002 | Eye Design Optical LLC | Optometrist | 1571 Westchester Ave, Bronx, NY 10472-2912 | 2019-03-29 |
| 1124590963 | Rs Eyes Inc | Optometrist | 2 W Burnside Ave, Bronx, NY 10453-4004 | 2018-12-18 |
| 1760904130 | Gianinna Jandy Saa | Optometrist | 2204 Bartow Ave, Bronx, NY 10475-4616 | 2017-07-07 |
| 1144778663 | Nk Optometry Pllc | Optometrist | 233a E 149th St, Bronx, NY 10451-1866 | 2016-09-13 |
| 1447608732 | Family Optometry Care PC | Optometrist | 385 E 149th St, Bronx, NY 10455-3902 | 2016-05-27 |
| 1780043612 | Change I Wear Inc | Optometrist | 1755 Crosby Ave, 2j, Bronx, NY 10461-4901 | 2016-02-20 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.