Dr Inna Ilyasova, | |
731 Lydig Ave, Bronx, NY 10462-2103 | |
(718) 829-2160 | |
Not Available |
Full Name | Dr Inna Ilyasova |
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Gender | Female |
Speciality | Optometrist |
Location | 731 Lydig Ave, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225708944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 009470 (New York) | Primary |
Provider Name | Pelham Parkway Vision Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740402205 PECOS PAC ID: 6305938218 Enrollment ID: O20070823000445 |
Mailing Address | Practice Location Address |
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Dr Inna Ilyasova, 7739 169th St, Fresh Meadows, NY 11366-1307 Ph: (917) 254-0847 | Dr Inna Ilyasova, 731 Lydig Ave, Bronx, NY 10462-2103 Ph: (718) 829-2160 |
Ms. Deborah Esposito, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 26 Holly Pl, Bronx, NY 10465 Phone: 917-217-6935 | |
Clear View Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 707 Burke Ave, Bronx, NY 10467 Phone: 718-547-1600 | |
Pro Optics Corp Optometrist Medicare: Medicare Enrolled Practice Location: 2483 Grand Concourse, Bronx, NY 10468 Phone: 718-933-0187 | |
Fordham Vision Center Ny Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1 E Fordham Rd, Bronx, NY 10468 Phone: 718-733-6700 Fax: 718-733-2756 | |
Veronica Moore-stoll, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3130 Grand Concourse Ste B6, Bronx, NY 10458 Phone: 718-741-3200 |