IZICK KHANIMOV OPTICIAN NPI 1013506948

NPI Information

NPI: 1013506948
Provider Name: IZICK KHANIMOV, OPTICIAN
Classification: Technician/Technologist - 156FX1101X
Entity Type: Individual

Specialization: Ophthalmic Assistant

Address:
115 7TH AVE
BROOKLYN, NY
ZIP 11215
Phone: (718) 398-2020
Get Directions

Izick Khanimov, OPTICIAN is an ophthalmic assistant technician technologist in Brooklyn, NY. The provider is an ophthalmic assistant assists ophthalmologists by performing duties including, but not limited to, patient charting, patient education, and basic eye testing. Izick Khanimov, OPTICIAN NPI is 1013506948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

115 7TH AVE
BROOKLYN, NY
ZIP 11215-301
Phone: (718) 398-2020
Fax: (718) 230-0024

The enumeration date for this NPI number is 1/14/2021 and was last updated on 1/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1101X	Technician/Technologist	Ophthalmic Assistant	00897-01	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008970-1	OTHER	NEW YORK	OPTICIAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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