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

Dr. Kristina Haidatov, OD

Individual provider Optometrist · NPI 1811482102

Dr. Kristina Haidatov, OD is an Optometry in Oakland Gardens, New York. Graduated from Pennsylvania College of Optometry in 2018, 8 years ago. Practices with Haidatov Optometry PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Trained at
Pennsylvania College of Optometry
Licensed in
NY
In the registry since
2018
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

21519 73rd Ave
Oakland Gardens, NY 11364-2928
Phone: (718) 819-8477
Fax: (718) 819-8534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 008824 (NY)

Record details

NPI number1811482102
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 28, 2018
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Haidatov Optometry Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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