DR. KRISTINA HAIDATOV OD
NPI 1811482102
Optometrist in Oakland Gardens, NY

Q: What is Kristina Haidatov's NPI number?

The NPI number for Kristina Haidatov is 1811482102. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Q: What is Kristina Haidatov'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 Kristina Haidatov was last updated on April 18, 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 28, 2018PECOS EnrolledAccepts Medicare Assignment

21519 73RD AVE, OAKLAND GARDENS, NY 11364(718) 819-8477(718) 819-8534 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Kristina Haidatov Od NPPES

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

DR. KRISTINA HAIDATOV OD (NPI 1811482102) is an individual optometrist in Oakland Gardens, New York, licensed in New York (008824) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2018).

NPPES Registry Identity

NPI1811482102

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. KRISTINA HAIDATOVCredential: OD

Location Address21519 73RD AVEOakland Gardens, NY 11364-2928

Mailing Address21519 73rd AveOakland Gardens, NY 11364-2928 · (718) 819-8477 · Fax (718) 819-8534

Phone(718) 819-8477

Fax(718) 819-8534

Sole ProprietorYes

Medical School CMSPennsylvania College Of OptometryGraduated 2018

Enumeration DateJune 28, 2018

Last NPPES UpdateApril 18, 2023

NPPES CertifiedApril 18, 2023

✔ NPI 1811482102 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 · 008824

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.

21519 73RD AVE, Oakland Gardens, NY 11364

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield 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 and accepts Medicare assignment

Dr. Kristina Haidatov Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163761784

PECOS Enrollment IDI20190226002633

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 Kristina Haidatov reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Haidatov Optometry PC

Same address

Optometrist

21519 73RD AVE
Oakland Gardens, NY 11364

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

NPI 1609506328 (718) 483-6624

Westchester Optical Inc.

8.6 mi

Optometrist

1594 WESTCHESTER AVE
Bronx, NY 10472

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

NPI 1609004183 (718) 861-6009

Eye Design Optical LLC

8.7 mi

Optometrist

1571 WESTCHESTER AVE
Bronx, NY 10472

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

NPI 1942761002 (347) 702-7874

Super Optical Inc.

8.7 mi

Optometrist

1549 WESTCHESTER AVE
Bronx, NY 10472

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

NPI 1922373000 (917) 792-3500

Cross Bronx Optical Inc.

9.4 mi

Optometrist

961 E 174TH ST
Bronx, NY 10460

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

NPI 1326355355 (347) 498-1478

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

61 services27 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

42 services37 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

39 services37 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

27 services27 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

25 services24 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11364 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 7

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

OAKLAND CHEMISTS INC.

Pharmacy (Community/Retail Pharmacy)

21519 73RD AVE
OAKLAND GARDENS, NY 11364

Queens County (347) 235-4999

ALANA ANN HARILALL PHARM D

Pharmacist

21519 73RD AVE
BAYSIDE, NY 11364

Queens County (347) 879-3712

ADLIB PHARMACY CORP

Pharmacy (Community/Retail Pharmacy)

21519 73RD AVE
OAKLAND GARDENS, NY 11364

Queens County (718) 428-8200

DR. NERRY LEX NAYZOV O.D.

Optometrist

21519 73RD AVE
OAKLAND GARDENS, NY 11364

Queens County (718) 819-8477

HAIDATOV OPTOMETRY PC

Optometrist

21519 73RD AVE
OAKLAND GARDENS, NY 11364

Queens County (718) 483-6624

CHAIM H KURZ RPH

Pharmacist

21519 73RD AVE
OAKLAND GARDENS, NY 11364

Queens County (718) 428-8200

ANDREW CHENG PHARMD

Pharmacist

21519 73RD AVE
OAKLAND GARDENS, NY 11364

Queens County (646) 335-3536

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 Kristina Haidatov's NPI number?

The NPI number for Kristina Haidatov is 1811482102. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Kristina Haidatov located?

Kristina Haidatov practices at 21519 73rd Ave, Oakland Gardens, NY 11364. The listed phone number is (718) 819-8477.

What is Kristina Haidatov's specialty?

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

Is Kristina Haidatov enrolled in Medicare?

Yes. Kristina Haidatov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kristina Haidatov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Haidatov reassigns Medicare benefits to 5 organizations: Haidatov Optometry PC (Oakland Gardens, NY), Westchester Optical Inc. (Bronx, NY), Eye Design Optical LLC (Bronx, NY), Super Optical Inc. (Bronx, NY) and Cross Bronx Optical Inc. (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Haidatov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Haidatov accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 8 other insurers list Kristina Haidatov 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 Kristina Haidatov was last updated on April 18, 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.