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

Individual provider Optometrist · NPI 1275648636

Irina Kotovsky Fazio, OD is an Optometry in New York, New York. Graduated from State University of New York - State College Optometry in 2006, 20 years ago. Practices with Jamaica Hospital, a 250-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2006
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

1042 Second Ave Lenscrafters Inc
New York, NY 10011
Phone: (212) 759-8150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV007075 (NY)

Record details

NPI number1275648636
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESDecember 18, 2008

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 2006 (20 years in practice)
Group practice Jamaica Hospital — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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