Active NPIIndividual provider

Gauhar Kanimetova, OD

Optometrist in Brooklyn, New York

NPI Number1033604517
Practice location
457 Knickerbocker Ave, Brooklyn, NY 11237-5107
Fax
718-386-0023
Last updated
September 28, 2023

Gauhar Kanimetova is an Optometrist based in Brooklyn, NY. Gauhar Kanimetova practices in Brooklyn, NY and has the professional credentials of OD. The NPI Number for Gauhar Kanimetova is 1033604517 and holds a License No. 008766 (NY). The current practice location address for Gauhar Kanimetova is 457 Knickerbocker Ave, Brooklyn, NY 11237-5107 and can be reached out via phone at 718-386-0021 and via fax at 718-386-0023.

Provider Profile Details

NPI Number
1033604517
Provider Name
Gauhar Kanimetova
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
457 Knickerbocker Ave, Brooklyn, NY 11237-5107
Phone Number
718-386-0021
Fax Number
718-386-0023
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
June 27, 2018
Last Update Date
September 28, 2023
Certification Date
September 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
457 Knickerbocker Ave
Brooklyn, NY 11237-5107
Zip
11237-5107
Phone Number
718-386-0021
Fax Number
718-386-0023
Brooklyn, NY 11237Get directions →

Provider Business Mailing Address Details

Address
52 Canal St Apt 4B
New York, NY 10002-6134
City
New York
State
NY
Zip
10002-6134

License Information

License Number
008766
License State
NY
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gauhar Kanimetova, OD?

The NPI number of Gauhar Kanimetova, OD is 1033604517. It was assigned on June 27, 2018 and is currently active in the NPPES registry.

What is the specialty of Gauhar Kanimetova, OD?

Gauhar Kanimetova, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number 008766.

Where does Gauhar Kanimetova, OD practice?

The practice location is 457 Knickerbocker Ave, Brooklyn, NY 11237-5107. The office can be reached at 718-386-0021 (phone) or 718-386-0023 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033604517 directly on the NPPES registry website.

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