Active NPIIndividual providerSole proprietor

Sergio Cisneros, OD

Optometrist in Richmond Hill, New York

NPI Number1174257521
Practice location
11915 Atlantic Ave, Richmond Hill, NY 11418-3216
Fax
718-805-5621
Last updated
July 12, 2022

Sergio Cisneros is an Optometrist based in Richmond Hill, NY. Sergio Cisneros practices in Richmond Hill, NY and has the professional credentials of OD. The NPI Number for Sergio Cisneros is 1174257521 and holds a License No. TUV0009594 (NY). The current practice location address for Sergio Cisneros is 11915 Atlantic Ave, Richmond Hill, NY 11418-3216 and can be reached out via phone at 718-805-0700 and via fax at 718-805-5621.

Provider Profile Details

NPI Number
1174257521
Provider Name
Sergio Cisneros
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
11915 Atlantic Ave, Richmond Hill, NY 11418-3216
Phone Number
718-805-0700
Fax Number
718-805-5621
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 12, 2022
Last Update Date
July 12, 2022
Certification Date
June 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
11915 Atlantic Ave
Richmond Hill, NY 11418-3216
Zip
11418-3216
Phone Number
718-805-0700
Fax Number
718-805-5621
Richmond Hill, NY 11418Get directions →

Provider Business Mailing Address Details

Address
11915 Atlantic Ave
Richmond Hill, NY 11418-3216
City
Richmond Hill
State
NY
Zip
11418-3216
Phone Number
718-805-0570
Fax Number
718-805-5621

License Information

License Number
TUV0009594
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 Sergio Cisneros, OD?

The NPI number of Sergio Cisneros, OD is 1174257521. It was assigned on July 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Sergio Cisneros, OD?

Sergio Cisneros, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number TUV0009594.

Where does Sergio Cisneros, OD practice?

The practice location is 11915 Atlantic Ave, Richmond Hill, NY 11418-3216. The office can be reached at 718-805-0700 (phone) or 718-805-5621 (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 1174257521 directly on the NPPES registry website.

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