Michelle Yagnatovsky, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009590 Issued in NY

Practice address

2965 Ocean Pkwy Ste 4
Brooklyn, NY 11235-8014

Phone

(718) 333-2020

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• My Optometry PC

  • Optometrist
  • Brooklyn, NY
  • NPI 1730871237
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1154055697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BUTTONWOOD RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 OCEAN PKWY STE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358014",
            "telephone_number": "718-333-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGNATOVSKY",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Yagerman, O.T.R.
• Newal Yaghnam
• Eden Yaghoubi
• Yaglom Psychotherapy L.C.S.W PC
• Masha Miriam Yaglom, LCSW
• Lubov Yagnych, NP
• Yagold Inc
• Boris Yaguda, M.D.
• Daniel Yaguda, PHARMD
• Bracha Yagudaev

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.