DR. ATHINA DOULAVERIS


Address: 350 S Broadway, Hicksville, NY 11801-5006
Phone: 5169380100

DR. ATHINA DOULAVERIS (NPI# 1295143287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295143287
Entity Type Individual
Full Name DR. ATHINA DOULAVERIS
Credential O.D.
Practice Address 350 S Broadway
Hicksville
NY 11801-5006
Mailing Address 55 Water St
2nd Floor Cred Dept
New York
NY 10041-0004
Practice Telephone 5169380100
Practice Fax Number 5169380120
Mailing Telephone 6466802888
Mailing Fax Number 5165425556
Enumeration Date 2014-07-23
Last Update Date 2019-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist TUV008196 NY Eye and Vision Services Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
640 Hawkins Ave, Ronkonkoma, NY 117792324 6317370100 6314711117
206-20 Linden Blvd, Cambria Heights, NY 114111524 7184796600 7182647080
226 Clinton Street, Hempstead, NY 115502614 5164832020 5165601855
300 Bayshore Road, North Babylon, NY 117032823 6315862700 6314918613
225 Froehlich Farm Blvd, Woodbury, NY 117972922 5163645400 5166773656
1991 Marcus Ave, 2nd Floor, New Hyde Park, NY 110422057 5163541600
180-05 Hillside Ave, Jamaica, NY 114324727 7185266300 7182627064
640 Hawkins Ave, Ronkonkoma, NY 117792324 6466804227

Office Location

Street Address 350 S BROADWAY
City HICKSVILLE
State NY
Zip Code 11801-5006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336149855 Dominic Fiorenza Podiatrist 350 S Broadway, Hicksville, NY 11801-5006 2005-07-27
1134541733 Ajay Balladin Nurse Practitioner 350 S Broadway, Hicksville, NY 11801-5006 2014-01-16
1093099236 Leili Iranmanesh Physical Therapist 350 S Broadway, Hicksville, NY 11801-5006 2011-10-06
1437446705 Miriam Riaz Family Medicine 350 S Broadway, Hicksville, NY 11801-5006 2011-07-07
1437455268 Nadia Qadri Obstetrics & Gynecology 350 S Broadway, Hicksville, NY 11801-5006 2011-01-26
1053615914 Valerie Rabinovich Obstetrics & Gynecology 350 S Broadway, Hicksville, NY 11801-5006 2011-01-06
1851607352 Anthony Joy Camacho Physical Therapist 350 S Broadway, Hicksville, NY 11801-5006 2010-08-23
1073833851 Zena Hassan Internal Medicine 350 S Broadway, Hicksville, NY 11801-5006 2010-06-03
1477789667 Eric David Blacher Family Medicine 350 S Broadway, Hicksville, NY 11801-5006 2009-06-02
1992943906 Chandni Ayushyaman Suba Physical Therapist 350 S Broadway, Hicksville, NY 11801-5006 2009-01-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588296222 Princy John Registered Nurse 19 Utica Ave, Hicksville, NY 11801 2020-02-11
1558920314 Alvin Varkey Registered Nurse 1 Hastings Lane, Hicksville, NY 11801 2019-06-06
1033680152 Chaolin Fu Physical Therapist 4 Savoy Place, Hicksville, NY 11801 2018-12-16
1902373954 Linda Alagna Massage Therapist 21 Michigan Dr, Hicksville, NY 11801 2018-10-29
1336621523 Christina Doyle Early Intervention Provider Agency 22 April Lane, Hicksville, NY 11801 2018-09-04
1376023325 Jessica Lyons Specialist 128 5th Ave, Hicksville, NY 11801 2018-08-20
1881180404 Laura Veronica Cevallos Early Intervention Provider Agency 67 Lee Ave, Hicksville, NY 11801 2018-07-06
1942719810 David Collins Behavioral Analyst 431 Division Avenue, Hicksville, NY 11801 2017-09-23
1285159756 James Daconti Social Worker 100 Duffy Ave Ste 510, Hicksville, NY 11801 2017-08-07
1306376918 Emily Miracolo Specialist 9 Waters Ave, Hicksville, NY 11801 2017-06-15
Find all providers in zip 11801

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144704230 General Long Island Eye Care LLC Optometrist 358 Broadway Mall Ste 371a, Hicksville, NY 11801-2709 2018-09-24
1417075458 Gabriel Taub Optometrist 371 Broadway Mall, Hicksville, NY 11801-2709 2007-03-27
1699855486 Dean E Hart Optometrist 185 Woodbury Rd, Hicksville, NY 11801-3029 2006-10-16
1063477602 Joseph Hallak Optometrist 183 Broadway, Suite 308, Hicksville, NY 11801-4247 2006-04-18
1366433807 Lori Arbital Optometrist 364 S Oyster Bay Rd, Hicksville, NY 11801-3508 2005-11-03
1669024832 Debbie Lisa Simon Optometrist 185 Woodbury Rd, Hicksville, NY 11801-3029 2019-07-09
1871009134 Cvs Aoc Services, L.L.C. Optometrist 202 W Old Country Rd, Hicksville, NY 11801-4011 2017-12-22
1740728047 Long Island Vision Optometry PC Optometrist 358 Broadway Mall, Suite 371a, Hicksville, NY 11801-2709 2017-02-07
1093250573 A. Hoffman Enterprises Optometrist 203 N Main St, Hicksville, OH 43526-1120 2016-12-20
1598056319 Hicksville Family Eye Care LLC Optometrist 203 N Main St, Hicksville, OH 43526-1120 2011-04-27
Find all providers in HICKSVILLE

Competitor

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City HICKSVILLE
Zip Code 11801

Improve Information

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Dataset Information

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.

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