Provider Demographics
NPI:1063883114
Name:AYKELIN, OSNAT (OD)
Entity type:Individual
Prefix:DR
First Name:OSNAT
Middle Name:
Last Name:AYKELIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:OKSANA
Other - Middle Name:
Other - Last Name:AYKELINCHAYEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:8545 111TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1638
Mailing Address - Country:US
Mailing Address - Phone:917-484-3378
Mailing Address - Fax:
Practice Address - Street 1:8545 111TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1638
Practice Address - Country:US
Practice Address - Phone:917-484-3378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-15
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008367-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist