MRS. TAMARA VIKTORY PETROSYAN O.D.
NPI 1043447220
Optometrist in Jamaica, NY

Active since June 16, 2009PECOS Enrolled
9704 SUTPHIN BLVD, JAMAICA, NY 11435(718) 657-7088(718) 657-7092 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tamara Viktory Petrosyan O.d. NPPES

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

MRS. TAMARA VIKTORY PETROSYAN O.D. (NPI 1043447220) is an individual optometrist in Jamaica, New York, licensed in New York (TUV007431) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of State University Of New York - State College Optometry (2009).

NPPES Registry Identity

NPI1043447220
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. TAMARA VIKTORY PETROSYANCredential: O.D.
Location Address9704 SUTPHIN BLVDJamaica, NY 11435-4721
Mailing Address60 Madison Ave Fl 5New York, NY 10010-1600 · (212) 545-2400 · Fax (646) 312-0481
Fax(718) 657-7092
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2009
Enumeration DateJune 16, 2009
Last NPPES UpdateFebruary 27, 2019
NPI 1043447220 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 · TUV007431
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.
9704 SUTPHIN BLVD, Jamaica, NY 11435

Secondary Practice Location 1

Location 133 W 42nd StNew York, NY 10036-8005 · Phone (631) 793-2386

Other Identifiers 1

Medicaid0332193NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Tamara Viktory Petrosyan O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800920554
PECOS Enrollment IDI20100817000253
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11435 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 14

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

Clinic/Center (Federally Qualified Health Center (FQHC))
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Optometrist
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Dietitian, Registered
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Psychiatry & Neurology (Psychiatry)
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Pediatrics
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Clinic/Center (Federally Qualified Health Center (FQHC))
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Internal Medicine
9704 SUTPHIN BLVD, JAMAICA
JAMAICA, NY 11435
Social Worker (Clinical)
9704 SUTPHIN BLVD
JAMAICA, NY 11435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Petrosyan's NPI number?

The NPI number for Tamara Petrosyan is 1043447220. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Tamara Petrosyan located?

Tamara Petrosyan practices at 9704 Sutphin Blvd, Jamaica, NY 11435. The listed phone number is (718) 657-7088.

What is Tamara Petrosyan's specialty?

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

Is Tamara Petrosyan enrolled in Medicare?

Yes. Tamara Petrosyan is registered in the Medicare PECOS enrollment system.

What insurance does Tamara Petrosyan accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Tamara Petrosyan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tamara Petrosyan was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.