DR. STANISLAV V ILYUSHA


Address: 1501 Gravesend Neck Rd, Brooklyn, NY 11229-4434
Phone: 7187874111

DR. STANISLAV V ILYUSHA (NPI# 1750334264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750334264
Entity Type Individual
Full Name DR. STANISLAV V ILYUSHA
Credential O.D.
Practice Address 1501 Gravesend Neck Rd
Brooklyn
NY 11229-4434
Mailing Address 201 Brighton 1st Rd
Apt.5-j
Brooklyn
NY 11235-7650
Practice Telephone 7187874111
Mailing Telephone 7186486332
Enumeration Date 2006-05-18
Last Update Date 2008-07-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WC0802X Optometrist
Specialization: Corneal and Contact Management
VUT006443 NY Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02218697 05

Office Location

Street Address 1501 GRAVESEND NECK RD
City BROOKLYN
State NY
Zip Code 11229-4434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629619259 Starlight Optical Ny Inc Optometrist 1501 Gravesend Neck Rd, Brooklyn, NY 11229-4434 2019-10-04
1215289525 New Starlight Optical Inc Optometrist 1501 Gravesend Neck Rd, Brooklyn, NY 11229-4434 2012-10-10
1225203649 Starlight Optical, Inc Optometrist 1501 Gravesend Neck Rd, Brooklyn, NY 11229-4434 2008-04-26

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Taxonomy Information

Taxonomy Code 152WC0802X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Corneal and Contact Management

Taxonomy Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366858045 Jacqueline Chang Optometrist 159 Court St, Brooklyn, NY 11201-4343 2014-07-02
1750667929 Katherine Gut Optometrist 114 Java St, Brooklyn, NY 11222-1644 2011-11-01
1295800050 Jeffrey Cooper Optometrist 1448 86th St, Brooklyn, NY 11228-3429 2006-11-21
1881673184 Michael Kiselow Optometrist 909 Manhattan Ave, Greenpoint Eye Care LLC, Brooklyn, NY 11222-5960 2006-01-13
1942291273 National Vision Center Optometrist 820 Flatbush Ave, Brooklyn, NY 11226-3102 2005-11-04
1225203649 Starlight Optical, Inc Optometrist 1501 Gravesend Neck Rd, Brooklyn, NY 11229-4434 2008-04-26
1720275175 Shades of Montague Optometrist 132 Montague St, Brooklyn, NY 11201-3521 2007-10-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578127304 Visionary Optometry, Pllc Optometrist 21814 Jamaica Ave, Queens Village, NY 11428-2100 2019-04-26
1366933707 Metropolitan Vision Optometry Downtown Pllc. Optometrist 60 Saint James Pl, New York, NY 10038-1209 2018-05-22
1194226886 Esad Optical, Inc Optometrist 6332 Northern Blvd, East Norwich, NY 11732-1600 2018-02-27
1699155549 Twin Forks Optometry, Pllc Optometrist 25 Cranberry Street, Riverhead, NY 11901 2015-06-05
1437427986 Lita Huh Optometrist 14218 38th Ave Ste Cfa, Flushing, NY 11354-5554 2011-12-12
1144544081 Antoine Copty Od PC Optometrist 2116 35th St, 1g, Astoria, NY 11105-2147 2010-03-22
1750523528 Jennifer Veronica Thomas Optometrist 2266 Arby Ct, Wantagh, NY 11793-3852 2009-03-25
1992976799 Michael Feldman Optometrist 469a Sunrise Hwy, Lynbrook, NY 11563-3017 2008-03-19
1386812295 Leland Stann Barry Optometrist 651 E Park Ave, Long Beach, NY 11561-2512 2008-02-13
1154505436 See Better,inc Optometrist 1450 Broadway, New York, NY 10018-2201 2007-12-22
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City BROOKLYN
Zip Code 11229

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Dataset Information

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.

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