IGOR KIZHNERMAN (NPI# 1679674519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679674519 |
Entity Type | Individual |
Full Name | IGOR KIZHNERMAN |
Credential | OPTICIAN |
Practice Address |
16803 Jamaica Ave Jamaica NY 11432 |
Practice Telephone | 7186574170 |
Practice Fax Number | 7186574171 |
Mailing Telephone | 7186574170 |
Mailing Fax Number | 7186574171 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
006787-1 | NY | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02256417 | 05 |
Street Address |
16803 JAMAICA AVE |
City | JAMAICA |
State | NY |
Zip Code | 11432 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093033763 | Vision World of Jamaica Aveinc | Clinic/Center | 16803 Jamaica Ave, Jamaica, NY 11432-5215 | 2010-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
Find all providers in zip 11432 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
1932615911 | David Nazginov | Technician/Technologist | 18136 Tudor Rd, Jamaica, NY 11432-1447 | 2017-12-28 |
1336577493 | Suresh Sanpaul | Technician/Technologist | 9065 180th St, Jamaica, NY 11432-5612 | 2013-10-28 |
1487958831 | Optical 161 Corp | Technician/Technologist | 16111 Jamaica Ave, Jamaica, NY 11432-6113 | 2010-12-28 |
1316260888 | Rek Queens Optical Center Inc | Technician/Technologist | 8233 164th St, Jamaica, NY 11432-1120 | 2010-03-11 |
1033446463 | Jamaica Optical Inc. | Technician/Technologist | 14620 Jamaica Ave, Jamaica, NY 11435-3628 | 2009-11-05 |
1487989406 | Boris Mulokandov | Technician/Technologist | 16524 Baisley Blvd, Store #14 Mall #1, Jamaica, NY 11434-2517 | 2009-10-08 |
1740219096 | Robert Phillip Kaplan | Technician/Technologist | 13809 Queens Blvd, Jamaica, NY 11435-2641 | 2006-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
1215577507 | Denise R Jones | Technician/Technologist | 6115 Metropolitan Ave # Store549, Ridgewood, NY 11385-2644 | 2020-01-14 |
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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.