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BERTA POLVANOVA
NPI 1730424201
Technician/Technologist - Optician in Rego Park, NY

Active since December 10, 2012
9732 63RD RD, REGO PARK, NY 11374(718) 539-3646 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Berta Polvanova NPPES

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

BERTA POLVANOVA (NPI 1730424201) is an individual optician in Rego Park, New York, licensed in New York (008685-1) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1730424201
Entity TypeIndividualFemale
Primary Taxonomy156FX1800X
Provider Legal NameBERTA POLVANOVA
Location Address9732 63RD RDRego Park, NY 11374-1639
Mailing Address69-23 168 StreetFresh Meadows, NY 11365 · (718) 755-0656
Phone(718) 539-3646
Sole ProprietorYes
Enumeration DateDecember 10, 2012
✔ NPI 1730424201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License✔ Licensed in NY · 008685-1
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
9732 63RD RD, Rego Park, NY 11374
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Other Identifiers 1

Medicaid03396027NY

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.

A & E HEARING AID CENTER
Hearing Instrument Specialist
9732 63RD RD
REGO PARK, NY 11374
Queens County (718) 205-0664
IADGAR NP IN ADULT HEALTH PC
Nurse Practitioner (Adult Health)
9732 63RD RD
REGO PARK, NY 11374
Queens County (646) 552-4010
EDWARD SHALTS MEDICAL PC
Psychiatry & Neurology (Psychiatry)
9732 63RD RD
REGO PARK, NY 11374
Queens County (718) 275-2224
ALL SEASONS ALLERGY AND ASTHMA MEDICAL CARE PC
Allergy & Immunology (Allergy)
9732 63RD RD
REGO PARK, NY 11374
Queens County (718) 275-2900
MOISEY FRIDMAN M.D
Obstetrics & Gynecology
9732 63RD RD
REGO PARK, NY 11374
Queens County (718) 275-2224
ELEANARA IADGAROVA DNP
Nurse Practitioner (Gerontology)
9732 63RD RD
REGO PARK, NY 11374
Queens County (646) 552-4010
R S FAMILY EYE MEDICAL CARE PC
Ophthalmology
9732 63RD RD
REGO PARK, NY 11374
Queens County (347) 730-4606
DR. FAYE RABINOVICH DO
Family Medicine
9732 63RD RD
REGO PARK, NY 11374
Queens County (718) 275-2698

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 Berta Polvanova's NPI number?

The NPI number for Berta Polvanova is 1730424201. It was assigned to this individual provider in the NPPES registry on December 10, 2012.

Where is Berta Polvanova located?

Berta Polvanova practices at 9732 63rd Rd, Rego Park, NY 11374. The listed phone number is (718) 539-3646.

What is Berta Polvanova's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Berta Polvanova was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.