Active NPI
Ilya Nikolai Volk, OD
- Optometrist
- Encinitas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34343
- Practice address
- 477 N El Camino Real Ste C202
Encinitas, CA 92024-1332 - Phone
- (760) 631-3500
- NPI assigned
- Sep 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34343 | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 34343 | CA |
Addresses
Primary practice location
477 N El Camino Real Ste C202
Encinitas, CA 92024-1332
Mailing address
477 N El Camino Real Ste C202
Encinitas, CA 92024-1332
Other practice location 1
1930 Via Ctr
Vista, CA 92081-6056
Phone (760) 631-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34343 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fourth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Thomas S Tooma M D a Professional Corporation | Optometrist | Current | Accepting new patients |
| Fourth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Thomas S Tooma M D a Professional Corporation | Optometrist | Current | Accepting new patients |
| Fourth Optometric Care of California | Optometrist | Current | Accepting new patients |
| North County Eye Center, Inc. | Optometrist | Current | Accepting new patients |
Locations
2653 Gateway Rd
Ste 101
Carlsbad, CA 92009
Phone (760) 476-1921
225 E 2nd Ave
Ste 310
Escondido, CA 92025
Phone (760) 738-9985
251 E 4th Ave
Escondido, CA 92025
Phone (760) 738-9985
15706 Pomerado Rd
Ste 103
Poway, CA 92064
Phone (858) 451-8600
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
3655 Nobel Dr
Ste 130
San Diego, CA 92122
Phone (858) 283-5371
Interoperability endpoints
- ilyanikolai.volkod.p1@direct.morriseyegroup.nextgenshare.com
- ivolk@nceyecenter.eyefinity-direct.com
Organizations & group practices 6
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.
-
- Optometrist
- Mountain View, CA
- NPI 1497499974
-
- Ophthalmology Physician
- Newport Beach, CA
- NPI 1922129865
Optometrist
-
- Optometrist
- Mountain View, CA
- NPI 1689248874
-
- Optometrist
- Carlsbad, CA
- NPI 1952019614
-
- Optometrist
- San Diego, CA
- NPI 1215583257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1285283275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 N EL CAMINO REAL STE C202",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920241332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 N EL CAMINO REAL STE C202",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920241332",
"telephone_number": "760-631-3500"
}
],
"practiceLocations": [
{
"address_1": "1930 Via Ctr",
"address_purpose": "LOCATION",
"city": "Vista",
"state": "CA",
"postal_code": "920816056",
"country_code": "US",
"telephone_number": "760-631-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOLK",
"first_name": "ILYA",
"middle_name": "NIKOLAI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-11",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34343",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "34343",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.