DR. DIANA ILYASOVA


Address: 735 Lydig Ave, Bronx, NY 10462-2103
Phone: 7188292160

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist TUV007417 NY Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 3185751 05

Other Providers DIANA ILYASOVA

NPI Name Taxonomy Address Enumeration
1700297736 Diana Ilyasova Counselor 79-25 150th St, Apt. B11, Flushing, NY 11367 2014-05-13

Office Location

Street Address 735 LYDIG AVE
City BRONX
State NY
Zip Code 10462-2103

Providers in the same location

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

Providers in the same zip code

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
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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 10462

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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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