GAUHAR KANIMETOVA OD
NPI 1033604517
Optometrist in Brooklyn, NY

Q: What is Gauhar Kanimetova's NPI number?

The NPI number for Gauhar Kanimetova is 1033604517. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Q: What is Gauhar Kanimetova's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gauhar Kanimetova was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 27, 2018PECOS Enrolled

457 KNICKERBOCKER AVE, BROOKLYN, NY 11237(718) 386-0021(718) 386-0023 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Gauhar Kanimetova Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAUHAR KANIMETOVA OD (NPI 1033604517) is an individual optometrist in Brooklyn, New York, licensed in New York (008766) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033604517

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameGAUHAR KANIMETOVACredential: OD

Location Address457 KNICKERBOCKER AVEBrooklyn, NY 11237-5107

Mailing Address52 Canal St Apt 4bNew York, NY 10002-6134

Phone(718) 386-0021

Fax(718) 386-0023

Sole ProprietorNo

Enumeration DateJune 27, 2018

Last NPPES UpdateSeptember 28, 2023

NPPES CertifiedSeptember 28, 2023

✔ NPI 1033604517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · 008766

Definition

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.

457 KNICKERBOCKER AVE, Brooklyn, NY 11237

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gauhar Kanimetova Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Gauhar Kanimetova reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Supreme Eyecare Center Corp

Same address

Optometrist

457 KNICKERBOCKER AVE
Brooklyn, NY 11237

Reassigned Medicare billing, New York enrollment
3 clinicians in this Medicare group

NPI 1699493049 (646) 321-5802

Family Optometry P.C

6.6 mi

Optometrist

1302 KINGS HWY
Brooklyn, NY 11229

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Family Optometry PC
8 clinicians in this Medicare group

NPI 1548513922 (718) 627-8900

Lens Lab Optical 181 Inc

10 mi

Optometrist

4250 BROADWAY
New York, NY 10033

Reassigned Medicare billing, New York enrollment

NPI 1356085393 (212) 795-5640

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11237 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA A HEADLEY MD

Internal Medicine