Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1063768109
Eleonora TamayevaOD
Active
NPI Number1063768109
NPI TypeNPI-1 Individual
SpecialtyOptometrist
Provider Details
NPI1063768109
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2012-07-26
Last Updated2022-03-07
Mailing Address146 Middle Neck Rd
Great Neck, NY 11021-1246
United States
Phone: (516) 466-3874
📍 View Map
Primary Practice Address146 Middle Neck Rd
Great Neck, NY 11021-1246
United States
Phone: (516) 466-3874
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No152W00000X – OptometristNY007880
Yes152W00000X – OptometristNYtuv007880
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About NPI 1063768109

Eleonora Tamayeva OD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063768109. The primary specialty listed is Optometrist. The provider is located in Great Neck, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-07-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063768109?

NPI 1063768109 belongs to Eleonora Tamayeva OD, a Optometrist in Great Neck, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063768109 active?

The current status of NPI 1063768109 in the NPPES registry is Active. The record was last updated on 2022-03-07.

What specialty is NPI 1063768109?

NPI 1063768109 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063768109?

You can verify NPI 1063768109 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063768109?

The primary practice address on file for NPI 1063768109 is 146 Middle Neck Rd, Great Neck, NY 11021-1246. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063768109 issued?

NPI 1063768109 was first issued (enumerated) on 2012-07-26. The NPPES record was last updated on 2022-03-07.

Practice Location Map

Eleonora Tamayeva is located at 146 Middle Neck Rd, Great Neck, NY. Use the map below to find directions or verify the practice location.

📍 146 Middle Neck Rd, Great Neck, NY 11021-1246  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Eleonora Tamayeva. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063768109. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Optometrist007880NY
Optometristtuv007880NY
Data Verified from CMS NPPES Last synced: 2026-08-02 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162