Healthcare Provider Details

I. General information

NPI: 1932833985
Provider Name (Legal Business Name): ZIRWA ZIAMIR O.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 HEMPSTEAD TPKE
BETHPAGE NY
11714-5704
US

IV. Provider business mailing address

2 LYDIA ST
VALLEY STREAM NY
11580-2715
US

V. Phone/Fax

Practice location:
  • Phone: 516-210-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number009653
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: