MISS ANGELA V DUSSAN (NPI# 1205115474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205115474 |
| Entity Type | Individual |
| Full Name | MISS ANGELA V DUSSAN |
| Credential | OD |
| Practice Address |
1016 50th Ave Long Island City NY 11101-6273 |
| Practice Telephone | 5167926901 |
| Mailing Telephone | 5167926901 |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 007777 | NY | Eye and Vision Services Providers |
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
007777 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1205115474 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9721 Queens Blvd, Rego Park, NY 113742103 | 3472423884 | 7184401895 |
| Street Address |
1016 50TH AVE |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11101-6273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759810 | A Dussan Services LLC | Optometrist | 1016 50th Ave, Long Island City, NY 11101-6273 | 2019-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453469 | Marguerite Reilly | Speech-Language Pathologist | P721q John F. Kennedy School @ Information Technology H, 21-16 44th Road, Long Island City, NY 11101 | 2020-09-23 |
| 1831716323 | South Occupational Therapy Services, P.C. | Occupational Therapist | 1-50 50th Avenue, Apt 3806, Long Island City, NY 11101 | 2020-06-30 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1114565991 | Maria Montes | Counselor | 3110 37th Ave, Ste 401, Long Island City, NY 11101 | 2019-12-12 |
| 1235770777 | City Medical of Upper East Side, Pllc | Clinic/Center | 25-18 Queens Plaza South, Long Island City, NY 11101 | 2019-10-07 |
| 1073162343 | Kofi Robertson Md Pllc | Anesthesiology | 28-10 Jackson Avenue, Long Island City, NY 11101 | 2019-09-09 |
| 1689221368 | Crossland Transportation Management Corp | Non-emergency Medical Transport (VAN) | 34-18 Northern Blvd, Floor 4 Unit 32, Long Island City, NY 11101 | 2019-08-19 |
| 1295396190 | Natasha Fortune | Counselor | 3418 Northern Blvd Fl 4, Long Island City, NY 11101 | 2019-06-23 |
| 1588224901 | Lemon Health At Home, LLC | Home Health | 4628 Vernon Blvd., Suite 531, Long Island City, NY 11101 | 2019-06-18 |
| 1790342541 | Hospital Wood Medical Center | General Acute Care Hospital | Coxen Hole, Main Street, Roatan, BAY ISLANDS 11101 | 2019-05-28 |
| Find all providers in zip 11101 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578127304 | Visionary Optometry, Pllc | Optometrist | 21814 Jamaica Ave, Queens Village, NY 11428-2100 | 2019-04-26 |
| 1366933707 | Metropolitan Vision Optometry Downtown Pllc. | Optometrist | 60 Saint James Pl, New York, NY 10038-1209 | 2018-05-22 |
| 1194226886 | Esad Optical, Inc | Optometrist | 6332 Northern Blvd, East Norwich, NY 11732-1600 | 2018-02-27 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| 1366858045 | Jacqueline Chang | Optometrist | 159 Court St, Brooklyn, NY 11201-4343 | 2014-07-02 |
| 1437427986 | Lita Huh | Optometrist | 14218 38th Ave Ste Cfa, Flushing, NY 11354-5554 | 2011-12-12 |
| 1750667929 | Katherine Gut | Optometrist | 114 Java St, Brooklyn, NY 11222-1644 | 2011-11-01 |
| 1144544081 | Antoine Copty Od PC | Optometrist | 2116 35th St, 1g, Astoria, NY 11105-2147 | 2010-03-22 |
| 1750523528 | Jennifer Veronica Thomas | Optometrist | 2266 Arby Ct, Wantagh, NY 11793-3852 | 2009-03-25 |
| 1992976799 | Michael Feldman | Optometrist | 469a Sunrise Hwy, Lynbrook, NY 11563-3017 | 2008-03-19 |
| Find all providers with the same taxonomy | ||||
| City | LONG ISLAND CITY |
| Zip Code | 11101 |
Please comment or provide details below to improve the information on MISS ANGELA V DUSSAN.
| 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.