DR. DIANA ILYASOVA (NPI# 1629302658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629302658 |
| Entity Type | Individual |
| Full Name | DR. DIANA ILYASOVA |
| Credential | O.D. |
| Practice Address |
735 Lydig Ave Bronx NY 10462-2103 |
| Mailing Address |
7511 169th St Fresh Meadows NY 11366-1337 |
| Practice Telephone | 7188292160 |
| Practice Fax Number | 7188299502 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV007417 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 3185751 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700297736 | Diana Ilyasova | Counselor | 79-25 150th St, Apt. B11, Flushing, NY 11367 | 2014-05-13 |
| Street Address |
735 LYDIG AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10462-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740402205 | Pelham Parkway Vision Center Inc | Optometrist | 735 Lydig Ave, Bronx, NY 10462-2103 | 2007-05-03 |
| 1063768109 | Eleonora Tamayeva | Optometrist | 735 Lydig Ave, Bronx, NY 10462-2103 | 2012-07-26 |
| 1336392885 | Michael Orloff | Technician/Technologist | 735 Lydig Ave, Bronx, NY 10462-2103 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616198 | Ark Orthodontics Pllc | Dentist | 1332 Metropolitan Ave A/b, Bronx, NY 10462 | 2019-12-16 |
| 1568007714 | Afrah Saleh Abisse | Student in an Organized Health Care Education/Training Program | 715 Van Nest Ave Apt 2d, Bronx, NY 10462 | 2019-11-12 |
| 1255981486 | Angelica Cruz | Behavior Technician | 727 Morris Park Ave # 3653, Bronx, NY 10462 | 2019-09-19 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1598235467 | Windsor Leasing Corp. | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave., Bronx, NY 10462 | 2018-12-04 |
| 1255807640 | Winchie Do | Pharmacist | 1660 Paulding Ave, Bronx, NY 10462 | 2018-10-23 |
| 1477033843 | Silva Stars Transportation | Non-emergency Medical Transport (VAN) | 2187 Cruger Ave, Suite 2d, Bronx, NY 10462 | 2018-08-15 |
| 1063926962 | Pelham Pkwy Professional Medical Services of New York LLC | Surgery | 2157 White Plains Rd Ste A, Bronx, NY 10462 | 2017-11-30 |
| 1972035749 | Kalor Riley | Occupational Therapy Assistant | 2165 Matthews Ave Apt2h, Bronx, NY 10462 | 2017-03-31 |
| 1992247472 | Jora Mgt, Corp | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave, Bronx, NY 10462 | 2016-11-15 |
| Find all providers in zip 10462 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009175 | Designer Optical of Plains Parkway | Optometrist | 2196a White Plains Rd, Bronx, NY 10462-1406 | 2020-10-01 |
| 1235749045 | Jessica V Vaidya | Optometrist | 2480 Grand Concourse, Bronx, NY 10458-5201 | 2020-08-06 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1710540471 | Family Optometry 121 PC | Optometrist | 3300 Third Ave, Bronx, NY 10456-6748 | 2019-04-18 |
| 1942761002 | Eye Design Optical LLC | Optometrist | 1571 Westchester Ave, Bronx, NY 10472-2912 | 2019-03-29 |
| 1124590963 | Rs Eyes Inc | Optometrist | 2 W Burnside Ave, Bronx, NY 10453-4004 | 2018-12-18 |
| 1760904130 | Gianinna Jandy Saa | Optometrist | 2204 Bartow Ave, Bronx, NY 10475-4616 | 2017-07-07 |
| 1144778663 | Nk Optometry Pllc | Optometrist | 233a E 149th St, Bronx, NY 10451-1866 | 2016-09-13 |
| 1447608732 | Family Optometry Care PC | Optometrist | 385 E 149th St, Bronx, NY 10455-3902 | 2016-05-27 |
| 1780043612 | Change I Wear Inc | Optometrist | 1755 Crosby Ave, 2j, Bronx, NY 10461-4901 | 2016-02-20 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.