DR. BRIAN STEPHEN CORNWALL (NPI# 1275693624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275693624 |
| Entity Type | Individual |
| Full Name | DR. BRIAN STEPHEN CORNWALL |
| Credential | OD |
| Practice Address |
6130a 190th St Fresh Meadows NY 11365-2721 |
| Practice Telephone | 7184548484 |
| Mailing Telephone | 7184548484 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4273-1 | NY | Eye and Vision Services Providers |
| Street Address |
6130A 190TH ST |
| City | FRESH MEADOWS |
| State | NY |
| Zip Code | 11365-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043496367 | Fresh Eyes Inc | Optometrist | 6130a 190th St, Fresh Meadows, NY 11365-2721 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660653 | Melanie Batista | Massage Therapist | 71-55 Parsons Blvd, Fresh Meadows, NY 11365 | 2020-08-19 |
| 1497396378 | Celestina Andino | Registered Nurse | 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 | 2019-10-02 |
| 1659939304 | Bracha Kosoff | Occupational Therapist | 71-64 168th St., Flushing, NY 11365 | 2019-05-29 |
| 1295290419 | Kate Okeke | Licensed Practical Nurse | 188 04 64th Avenue, Fresh Meadow, NY 11365 | 2019-02-01 |
| 1669951497 | Jihee Woo | Registered Nurse | 189-04 6f Fresh Meadows, Queeens, NY 11365 | 2018-08-13 |
| 1710465125 | In Hye Choi | Acupuncturist | 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 | 2018-07-30 |
| 1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
| 1598280489 | Gabriella Pamela Koyenova | Physician Assistant | 69-24 181st Street, Fresh Meadows, NY 11365 | 2017-08-11 |
| 1750802781 | Nicola Coley | Behavioral Analyst | 6747 161st Street, 1k, Flushing, NY 11365 | 2017-06-29 |
| 1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
| Find all providers in zip 11365 | ||||
| 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 |
|---|---|---|---|---|
| 1144744178 | Hock Loon Chin | Optometrist | 15811 Jewel Ave, Fresh Meadows, NY 11365-3085 | 2017-08-01 |
| 1306179775 | Leading Optometry, P.C. | Optometrist | 7511 169th St, Fresh Meadows, NY 11366-1337 | 2009-09-16 |
| 1366674103 | Timothy Ip | Optometrist | 6539 175th St, Fresh Meadows, NY 11365-2137 | 2009-08-12 |
| 1073741872 | Jing J Cai | Optometrist | 7305 168th St, Fresh Meadows, NY 11366-1330 | 2009-06-30 |
| 1144301474 | Gary Siegelbaum | Optometrist | 61-30a 190 St, Fresh Meadows, NY 11365-2720 | 2006-10-17 |
| 1194799791 | Kai-may Chen | Optometrist | 18012 Union Tpke, Fresh Meadows, NY 11366-1620 | 2006-02-13 |
| 1851936322 | Jaison Jacob Daniel | Optometrist | 19213 Union Tpke, Fresh Meadows, NY 11366-1865 | 2019-11-08 |
| 1689104077 | Geary Rummler | Optometrist | 19213 Union Tpke, Fresh Meadows, NY 11366 | 2017-06-18 |
| 1902351588 | Melody Monroy | Optometrist | 19213 Union Tpke, Fresh Meadows, NY 11366 | 2016-08-24 |
| 1700234754 | Jenna Blechman | Optometrist | 19213 Union Tpke, Fresh Meadows, NY 11366 | 2016-06-01 |
| Find all providers in FRESH MEADOWS | ||||
| City | FRESH MEADOWS |
| Zip Code | 11365 |
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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.