Yk Optometrist P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007459 Issued in NY

Legal business name

YK OPTOMETRIST P.C.

Practice address

2601 E 24TH St
Brooklyn, NY 11235-2659

Phone

(718) 646-6200

Fax

(718) 648-0836

NPI assigned

Oct 24, 2014

Organization subpart

No

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

Authorized official

Name

Yelena Kagan

Title

O.D.

Phone

71849908567

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1174928782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E 24TH ST",
            "address_2": "APARTMENT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352659",
            "telephone_number": "718-490-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352659",
            "telephone_number": "718-646-6200",
            "fax_number": "718-648-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YK OPTOMETRIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "O.D.",
        "authorized_official_telephone_number": "71849908567"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.