DR. PHYLLIS GORELICK (NPI# 1194815316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194815316 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS GORELICK |
| Credential | O.D. |
| Practice Address |
159-03 Jamaica Ave Jamaica NY 11434 |
| Mailing Address |
1953 Grand Ave North Baldwin NY 11510-2820 |
| Practice Telephone | 8554233700 |
| Practice Fax Number | 6314993062 |
| Mailing Telephone | 5168646298 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | TUV004997-1 | NY | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | UT004997-1 | NY | Eye and Vision Services Providers |
| Street Address |
159-03 JAMAICA AVE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750752978 | Vision of Yonkers, Inc | Eyewear Supplier (Equipment, not the service) | 159-03 Jamaica Ave, Jamaica, NY 11432 | 2015-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726583 | Quwanna M Seymour | Licensed Practical Nurse | Sweet P Home Care Inc 169-37 144th Rd, Jamaica, NY 11434 | 2020-09-29 |
| 1609482645 | Joanquina Beaublanc | Registered Nurse | 170300 130th Ave, Queens, NY 11434 | 2020-09-16 |
| 1386252799 | Maria Akeloko | Behavioral Analyst | 16630 137th Ave, Jamaica, NY 11434 | 2020-07-22 |
| 1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
| 1548885528 | Dominique Alicia Preville | Registered Nurse | 127-14 122nd Street, Apt 2, Queens, NY 11434 | 2020-06-15 |
| 1235754748 | Jameela Scotland | Licensed Practical Nurse | 172 128 Ave, Jamaica, NY 11434 | 2020-06-10 |
| 1447892815 | Accord Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 115-17 Merrick Blvd., Jamaica, NY 11434 | 2019-10-17 |
| 1578122032 | Denise Marie Cahill | Counselor | 175-15 Rockaway Blvd., Janaica, NY 11434 | 2019-06-10 |
| 1235794363 | Whitney Sewell | Social Worker | 115-15 Sutphin Blvd., Jamaica, NY 11434 | 2019-05-03 |
| 1770055832 | Kassandra Maria Campbell | Registered Nurse | 114-76 177th Street, Jamaica, NY 11434 | 2018-12-29 |
| Find all providers in zip 11434 | ||||
| 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 |
|---|---|---|---|---|
| 1699209353 | Jamaica Vision Center Corp | Optometrist | 16413 Jamaica Ave, Jamaica, NY 11432 | 2017-04-19 |
| 1124484506 | Eyecare Advantage, Inc. | Optometrist | 11734 Sutphin Blvd, Jamaica, NY 11434-1546 | 2016-01-14 |
| 1619166899 | Nahida Afsana Lasker | Optometrist | 8243 165th St, Jamaica, NY 11432-1211 | 2007-10-23 |
| 1417070889 | Sarika Mehta | Optometrist | 16405 Hillside Ave Fl 2, Jamaica, NY 11432-4140 | 2007-04-09 |
| 1487714028 | Daniel M Friedman | Optometrist | 16334 Jamaica Ave, Jamaica, NY 11432-4912 | 2006-12-12 |
| 1689732604 | Irwin Daniel Sicherman | Optometrist | 16501 Jamaica Ave, Jamaica, NY 11432-4900 | 2006-12-04 |
| 1760554042 | Sutphin Optometry PC | Optometrist | 8914 Sutphin Blvd, Jamaica, NY 11435-3715 | 2006-11-14 |
| 1356352819 | Cecilia Jacques | Optometrist | 82-68 164th Street, Queens Hospital Center, Pavilion P-452, Jamaica, NY 11432 | 2006-08-10 |
| 1386605509 | David M Weiss | Optometrist | 165-01 Jamaica Ave, Jamaica, NY 11432-4900 | 2006-03-29 |
| 1104801802 | Lisa Kirkland | Optometrist | 17805 Hillside Ave, Jamaica, NY 11432-4624 | 2005-12-14 |
| Find all providers in JAMAICA | ||||
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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.