OrganizationActive
Dr Nisim Pilosov Optometrist PLLC
NPI 1104618651 · Optometrist · Corona, NY
Provider details
- NPI number
- 1104618651
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Nisim Pilosov, Optometrist(347) 407-2042
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9905 59th Ave Apt 3e
Corona, NY 11368-3825
Phone: (347) 407-2042
Street-level locationGet directions
Mailing address
9905 59th Ave Apt 3e
Corona, NY 11368-3825
Registry dates
- Enumerated
- 2025-05-20
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.