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

Tanya Mikitchenko, OD

Individual provider Optometrist · NPI 1902219033

Tanya Mikitchenko, OD is an Optometry in Sparta, New Jersey. Qualified in 2014, 12 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
12
Licensed in
NJ, NY
In the registry since
2014
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.

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Practice location Address checks out

328B Sparta Ave
Sparta, NJ 07871-1167
Phone: (973) 604-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1536 Flatbush Ave, Brooklyn, NY 11210-2427 — (718) 434-2222

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 27OA00710300 (NJ)
Optometrist Taxonomy 152W00000X · Licence 008131 (NY)

Record details

NPI number1902219033
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 5, 2014
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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