DR. KRISTINA HAIDATOV (NPI# 1811482102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811482102 |
| Entity Type | Individual |
| Full Name | DR. KRISTINA HAIDATOV |
| Credential | OD |
| Practice Address |
15015 79th Ave Apt 3a Flushing NY 11367-3909 |
| Practice Telephone | 7184836624 |
| Mailing Telephone | 7184836624 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 008824 | NY | Eye and Vision Services Providers |
| Street Address |
15015 79TH AVE APT 3A |
| City | FLUSHING |
| State | NY |
| Zip Code | 11367-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638008 | Scarlett Sea | Speech-Language Pathologist | 31-36 88th St, Jackson Heights, NY 11367 | 2020-01-15 |
| 1528612090 | Leora A Shimunov | Specialist | 147-32 70th Ave, Flushing, NY 11367 | 2019-08-01 |
| 1922651918 | Triborough Medical Pllc | Anesthesiology | 150-31 Union Tpke, Office of Daniel Khaimov, Md, Flushing, NY 11367 | 2019-07-19 |
| 1700343993 | Steven Bernard Markowitz | Preventive Medicine | Queens College - 65-30 Kissena Blvd, Commoner Center- Remsen 311, Queens, NY 11367 | 2019-02-25 |
| 1336617406 | Amira Awadallah | Pharmacist | 15315 79 Ave, Flushing, NY 11367 | 2018-11-07 |
| 1336624097 | Diana Yocheved Shalev | Pharmacist | 14905 79th Ave Apt 511, Flushing, NY 11367 | 2018-09-28 |
| 1417447731 | Yashuo Fazilova | Registered Nurse | 144-60 Gravett Road, Apt. 2c, Flushing, NY 11367 | 2018-05-11 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1164920500 | L & M Caring Services Inc | Occupational Therapist | 144-29 Melbourne Ave, Flushing, NY 11367 | 2018-01-31 |
| 1720597610 | Christine Simmons | Licensed Practical Nurse | 67-39 Kissena Blvd #1a, Flushing, NY 11367 | 2017-09-24 |
| Find all providers in zip 11367 | ||||
| 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 |
|---|---|---|---|---|
| 1235753245 | Michelle Chung | Optometrist | 14020 Sanford Ave Apt 1c, Flushing, NY 11355-2559 | 2020-06-04 |
| 1528616620 | Eyesmate Vision Care, Inc | Optometrist | 13335 41st Ave, Flushing, NY 11355-3630 | 2019-09-01 |
| 1982198602 | Jeffrey Daniel Enos | Optometrist | 4161 Kissena Blvd Ste 24, Flushing, NY 11355-3105 | 2018-06-16 |
| 1821515636 | Eastern Eye Care Optometry, Pllc | Optometrist | 144-15 41st Avenue, Suite L4, Flushing, NY 11355 | 2017-08-23 |
| 1093257453 | Justin Wu | Optometrist | 14355 41st Ave Apt 5c, Flushing, NY 11355-1821 | 2016-11-15 |
| 1013466275 | Nadezhda Kalantarova | Optometrist | 14754 76th Rd, Mailbox 2, 2nd Floor, Flushing, NY 11367-3140 | 2016-09-29 |
| 1225480296 | Leonard Fuzaylov | Optometrist | 15036 Union Tpke, Flushing, NY 11367-3928 | 2016-07-01 |
| 1255798724 | Precision Optometry Pllc | Optometrist | 13512 Roosevelt Ave, Flushing, NY 11354-5342 | 2016-01-28 |
| 1851794440 | Stargaze Eye Care Optometry P.C. | Optometrist | 13668 Roosevelt Ave Ste Cb, Flushing, NY 11354-5510 | 2014-09-26 |
| 1477968873 | Yang Xia | Optometrist | 135-12 Roosevelt Avenue, Flushing, NY 11354 | 2014-06-24 |
| Find all providers in FLUSHING | ||||
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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.