Julia Poltilov

Primary specialty

OptometristTaxonomy code 152W00000X

License

009534 Issued in NY

Practice address

7259 Kissena Blvd Ste 1
Flushing, NY 11367-2165

Phone

(718) 263-2020

NPI assigned

May 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BSD Optometry PCGroup PAC ID 2860832425, 2 clinicians

Practice addresses (Care Compare)

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.

• BSD Optometry PC

  dba Pure Vision Optical

  • Optometrist
  • Forest Hills, NY
  • NPI 1265298731
  Medicare reassignment Care Compare group NPD
• Aj Kew Garden Optical Corp

  • Optometrist
  • Flushing, NY
  • NPI 1295328979
  NPD
• Pure Vision Optical LLC

  • Optometrist
  • Forest Hills, NY
  • NPI 1033717053
  NPD
• Sajid Malik MD PC

  dba Malik Eye Care

  • Ophthalmology Physician
  • Hollis, NY
  • NPI 1598025157

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1295470045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20504 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232218",
            "telephone_number": "718-464-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7259 KISSENA BLVD STE 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672165",
            "telephone_number": "718-263-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLTILOV",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elianna Chaya Pollack, D.P.T.
• Gila Pollack
• Sela Pearl Pollack
• Aliza Pollak
• Talia Ruth Pollak, OTR/L
• Stuart Pomper
• Christine Pomposo, PT
• Benita P Ponda, M.D.
• Unice Pong
• Johana Ponikiewski, M.S., OTR/L

• Optometrist in Flushing, NY
• Providers in Flushing, 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 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.