Active NPI
Yk Optometry
- Optometrist
- Old Bridge, NJ
National Provider Identifier
1023874740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- YK OPTOMETRY
- Practice address
- 3849 Route 9
Old Bridge, NJ 08857-2717 - Phone
- (732) 696-8934
- NPI assigned
- Feb 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yelena Kagan, OD
- Title
- OD/Owner
- Phone
- (732) 696-8934
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3849 Route 9
Old Bridge, NJ 08857-2717
Mailing address
3849 Route 9
Old Bridge, NJ 08857-2717
Phone (732) 696-8934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3849 US Highway 9
Old Bridge, NJ 08857
Phone (732) 696-8934
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712880000000",
"number": "1023874740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3849 ROUTE 9",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572717",
"telephone_number": "732-696-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3849 ROUTE 9",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572717",
"telephone_number": "732-696-8934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YK OPTOMETRY",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-21",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "KAGAN",
"authorized_official_first_name": "YELENA",
"authorized_official_title_or_position": "OD/OWNER",
"authorized_official_telephone_number": "732-696-8934",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.