Katherine Ilyayev, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009672 Issued in NY

Practice address

7051 Austin St
Forest Hills, NY 11375-4729

Phone

(718) 793-1200

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forest Hills Optometry and Ophthalmic Dispensing PLLC

  • Optometrist
  • Forest Hills, NY
  • NPI 1881270437
  NPD
• Orasis Laser LLC

  • Ambulatory Surgical Clinic/Center
  • Bayside, NY
  • NPI 1316651383
  NPD
• Andrielle Optical Corp

  • Optician
  • Forest Hills, NY
  • NPI 1447393814

  Multi-Specialty

  NPD (past)
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1447345517

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1104540590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 113TH ST APT 6J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754628",
            "telephone_number": "347-249-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754729",
            "telephone_number": "718-793-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYAYEV",
        "first_name": "KATHERINE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elina Ilizarov, PHARMD
• Victoria Ilizarov
• Daniel B Ilyabayev, D.D.S.
• Yelena Ilyasova, NP
• Diana Ilyayev
• Shamuel Ilyayev, DDS
• Rehnuma Imani
• Important Steps Medical P.C.
• Katrina Impreso
• Alishba Imtiaz

• Optometrist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.