Individual provider Active NPI

Yelena Kagan, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1427287440
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007459 Issued in NY
Practice address
3723 Nostrand Ave
Brooklyn, NY 11235-1907
Phone
(718) 646-6200
Fax
(718) 648-0836
NPI assigned
Jul 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007459 NY Primary

Addresses

Primary practice location

3723 Nostrand Ave
Brooklyn, NY 11235-1907

Mailing address

3723 Nostrand Ave
Brooklyn, NY 11235-1907
Phone (718) 490-8567

Other identifiers 1

IdentifierTypeStateIssuer
03136023MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090903000097 NY Practitioner - Optometry 1759436322 Reassigns benefits to 4 organizations
I20240416004458 NJ Practitioner - Optometry 1759436322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

119 Church Ave
Brooklyn, NY 11218-3917
Phone (718) 436-1848

1402 Sheepshead Bay Rd
Brooklyn, NY 11235-3814
Phone (718) 934-1155

3723 Nostrand Ave
Brooklyn, NY 11235-1907
Phone (718) 646-6200

3849 Route 9
Old Bridge, NJ 08857-2717
Phone (732) 696-8934

4526 Broadway
New York, NY 10040-2404
Phone (212) 304-3585

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vogue Optical LTD CurrentSince Feb 19, 2012 Accepting new patients
Mda Management Inc Optometrist CurrentSince Mar 20, 2021 Accepting new patients
Gama Management Inc. Optometrist CurrentSince May 20, 2014 Accepting new patients
Yk Optometry Optometrist CurrentSince Feb 3, 2024 Accepting new patients
Optical Warehouse Outlet of Brooklyn Inc CurrentSince Jul 1, 2012 Accepting new patients
Family Eyecare LLC Optometrist Past Accepting new patients

Locations

3849 US Highway 9
Old Bridge, NJ 08857
Phone (732) 696-8934

3723 Nostrand Ave
Brooklyn, NY 11235
Phone (718) 646-6200

1402 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (718) 332-8425

4526 Broadway
New York, NY 10040
Phone (212) 304-3585

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1427287440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351907",
            "telephone_number": "718-490-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351907",
            "telephone_number": "718-646-6200",
            "fax_number": "718-648-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGAN",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-12",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03136023",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.