Organization Active NPI

Yk Optometry

  • Optometrist
  • Old Bridge, NJ
National Provider Identifier
1023874740
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Apr 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Yelena Kagan, ODNPI 1427287440
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20240416003822 NJ Part B Supplier - Clinic/Group Practice 7012356579 Receives reassigned benefits from 1 practitioner
Practice locations: Old Bridge, NJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.