OLEG PETROGALIS (NPI# 1568978336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568978336 |
| Entity Type | Individual |
| Full Name | OLEG PETROGALIS |
| Practice Address |
77 Green Acres Rd Valley Stream NY 11581-1008 |
| Practice Telephone | 5166120528 |
| Practice Fax Number | 5168872565 |
| Mailing Telephone | 5166120528 |
| Mailing Fax Number | 5168872565 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
6702 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0710862119 | 05 |
| Street Address |
77 GREEN ACRES RD |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11581-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427075654 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2006-07-16 |
| 1538790936 | Benjamin Thomas | Pharmacist | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2020-02-04 |
| 1871009662 | Feliks Abramson | Technician/Technologist | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2017-12-16 |
| 1285140053 | Jose Ladoo | Technician/Technologist | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2017-12-15 |
| 1932650074 | Anil James | Pharmacist | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2016-10-24 |
| 1033542907 | Wal-mart Stores East. Lp | Technician/Technologist | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2013-08-15 |
| 1437593027 | Ian Pak | Pharmacist | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2013-04-25 |
| 1982943734 | Brittany Gervasi | Pharmacist | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2013-02-13 |
| 1881972032 | Rohit Bhasin | Pharmacist | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2011-07-21 |
| 1942522149 | Syed Salman Rizvi | Pharmacist | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2010-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773437 | Step 2 Smile Physical Therapy PC | Physical Therapist | 74 Sylvan Place, Valley Stream, NY 11581 | 2019-05-01 |
| 1700369220 | Lyubov Nikolayeva | Nurse Practitioner | 76 Halyard Rd, Valley Stream, NY 11581 | 2018-09-11 |
| 1154846871 | Shayena Donaldson-fortune | Occupational Therapist | 100 Lotus Oval N, Valley Stream, NY 11581 | 2017-08-03 |
| 1255877080 | Fulin Wang | Acupuncturist | 45 Dartmouth St, Valley Stream, NY 11581 | 2017-01-18 |
| 1356796072 | Idit Ariel Zim | Speech-Language Pathologist | 924 Crestview Ave, Valley Stream, NY 11581 | 2016-05-02 |
| 1487086245 | Florence Jean Baptiste | Behavioral Analyst | 790 University Street, North Woodmere, NY 11581 | 2013-08-05 |
| 1760824254 | Tatiana Grant | Counselor | 70 Sunrise Hwy, Suite 500 #579, Valley Stream, NY 11581 | 2013-07-24 |
| 1740625698 | Patricia R. Curtis | Specialist | 96 Roosevelt Ave., Valley Stream, NY 11581 | 2013-05-06 |
| 1669769006 | Fredrica Beth Lieberstein | Health Educator | 792 Longview Avenue, North Woodmere, NY 11581 | 2011-07-06 |
| 1811288186 | Bruce Neil Goldman | Speech-Language Pathologist | 1030 Cedarhurst Street, North Woodmere, NY 11581 | 2011-04-21 |
| Find all providers in zip 11581 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871646984 | Tnt Optics, Inc | Technician/Technologist | 1152 Green Acres Mall, Valley Stream, NY 11581-1538 | 2007-01-19 |
| 1336223858 | Gary Stuart Feigelman | Technician/Technologist | 46 W Sunrise Hwy, Valley Stream, NY 11581-1104 | 2006-10-24 |
| 1699855726 | Howard Braunstein | Technician/Technologist | 54 S Central Ave, Valley Stream, NY 11580-5415 | 2006-10-16 |
| 1871009662 | Feliks Abramson | Technician/Technologist | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2017-12-16 |
| 1285140053 | Jose Ladoo | Technician/Technologist | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2017-12-15 |
| 1033542907 | Wal-mart Stores East. Lp | Technician/Technologist | 77 Green Acres Rd, Valley Stream, NY 11581-1008 | 2013-08-15 |
| 1265763148 | Igor Rick | Technician/Technologist | 1112 Green Acres Mall, Valley Stream, NY 11581-1536 | 2010-01-16 |
| 1346485976 | Omawathi Debidat | Technician/Technologist | 1152 Green Acres Mall, Valley Stream, NY 11581-1538 | 2008-12-11 |
| 1093938086 | Marvea V Thompson | Technician/Technologist | 1033 Green Acres Mall, Valley Stream, NY 11581-1531 | 2007-04-10 |
| 1669542767 | Jeffrey Ward Goldberg | Technician/Technologist | 1033 Green Acres Mall, Valley Stream, NY 11581-1531 | 2006-11-08 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11581 |
Please comment or provide details below to improve the information on OLEG PETROGALIS.
| 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.