Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Grigoriy Shimonov, OD

Individual provider Corneal and Contact Management Optometrist · NPI 1215938139

Dr. Grigoriy Shimonov, OD is an Optometry in Howard Beach, New York. Graduated from State University of New York - State College Optometry in 2004, 22 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
22
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

15614 Crossbay Blvd
Howard Beach, NY 11414-2745
Phone: (718) 738-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV006831 (NY)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence TUV006831 (NY)

Record details

NPI number1215938139
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 2, 2005
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated