ELIZABETH YUSUPOV


Address: 3130 Grand Concourse, Ste 1j, Bronx, NY 10458-1213
Phone: 7187413200

ELIZABETH YUSUPOV (NPI# 1437502911) 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) 1437502911
Entity Type Individual
Full Name ELIZABETH YUSUPOV
Credential O.D.
Practice Address 3130 Grand Concourse
Ste 1j
Bronx
NY 10458-1213
Mailing Address 6360 102nd St
Apt E7
Rego Park
NY 11374-2451
Practice Telephone 7187413200
Enumeration Date 2016-07-19
Last Update Date 2016-07-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist TUV008499 NY Eye and Vision Services Providers

Office Location

Street Address 3130 GRAND CONCOURSE
STE 1J
City BRONX
State NY
Zip Code 10458-1213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336114115 Michael David Hargrove Psychiatry & Neurology 3130 Grand Concourse, Suite B8, Bronx, NY 10458 2006-02-23
1114543527 Grace Chiyu To Optometrist 3130 Grand Concourse, Bronx, NY 10458-1213 2020-06-22
1275180556 Ashley Allee Optometrist 3130 Grand Concourse, Bronx, NY 10458-1213 2019-08-21
1467932970 Jennifer Nguyen Optometrist 3130 Grand Concourse, Suite B6, Bronx, NY 10458-1225 2018-08-15
1417494766 Essential Allergy, Asthma, Atopy Familycare, P.C. Clinic/Center 3130 Grand Concourse, Ste 1n, Bronx, NY 10458-1213 2017-01-25
1316311434 Mani Hamedi Md Pllc Anesthesiology 3130 Grand Concourse, Suite B5, Bronx, NY 10458-1213 2015-12-01
1932596285 Yvonne Dsouza Md PC Internal Medicine 3130 Grand Concourse, 1 E, Bronx, NY 10458-1213 2015-04-23
1306249453 Mark Fromer, LLC Clinic/Center 3130 Grand Concourse, B5, Bronx, NY 10458-1213 2014-10-03
1801159017 Khaldun Kerwin Ferreira Obstetrics & Gynecology 3130 Grand Concourse, Apt 7l, Bronx, NY 10458-1213 2012-06-21
1033426937 Ehmeth Medical Services, PC Internal Medicine 3130 Grand Concourse, Suite B5, Bronx, NY 10458-1213 2010-09-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154954493 Belmont Medical PC Specialist 2525 Belmont Ave, Bronx, NY 10458 2020-02-14
1730731787 Abreu Child and Parent Services Inc. Speech-Language Pathologist 2870 Marion Ave. Apt. 3c, Bronx, NY 10458 2019-07-10
1801457080 Family Adult Day Care, Inc. Clinic/Center 2332 Hoffman Street, 2nd & 3rd Floor, Bronx, NY 10458 2019-06-27
1366005969 Janet Jeonghwa Lee Dentist 260 E 188th Street, St. Barnabas Hospital, 1st Floor, Division of Orthodontics, Bronx, NY 10458 2019-04-18
1205308004 Feben Kurban Audiologist 625 East Fordham Road, Bronx, NY 10458 2018-12-19
1306328737 Lauretta Marie Tomaso Nurse Practitioner 500 East Fordham Road, Bronx, NY 10458 2018-09-01
1457831992 Cinthia Isabel Morales Counselor 2488 Grandconcourse Suite 417, Bronx, NY 10458 2018-08-15
1588159156 Raquel Lamarche Student in an Organized Health Care Education/Training Program 2505 Lorillard Pl Apt 1d, Bronx, NY 10458 2018-06-26
1750832929 Classic Home Care, Inc. In Home Supportive Care 2655a Webster Avenue, 2nd Floor, Bronx, NY 10458 2016-10-21
1023565637 Emily Hemingway Physical Therapist 397 E 198th St, Bronx, NY 10458 2016-09-01
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City BRONX
Zip Code 10458

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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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