Individual provider Active NPI

Bora A. Yurter, O.D.

  • Optometrist
  • Elmhurst, NY
National Provider Identifier
1619190915
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005905-1 Issued in NY
Practice address
9015 Queens Blvd
Cohen's Fashion Optical #6
Elmhurst, NY 11373-4900
Phone
(718) 592-5200
Fax
(718) 592-7902
NPI assigned
Apr 11, 2007
Last updated
Mar 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005905-1 NY Primary

Addresses

Primary practice location

9015 Queens Blvd
Cohen's Fashion Optical #6
Elmhurst, NY 11373-4900

Mailing address

9015 Queens Blvd Ste 2
Elmhurst, NY 11373-4910
Phone (718) 592-5200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190410001342 NY Practitioner - Optometry 5698016178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9015 Queens Blvd
Elmhurst, NY 11373-4900
Phone (718) 592-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005905-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
V Z Optical Corp Optometrist CurrentSince May 26, 2024 Accepting new patients
Vision People of Bellmore, Inc CurrentSince Jun 3, 2024 Accepting new patients
Grand Concourse Bronx Eye Care Inc Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Ewz Optical Corp CurrentSince Feb 26, 2019 Accepting new patients
Vision People Optometrist PastSince Jun 3, 2024 Accepting new patients
West Village Eyecare Associates Optometrist Past Accepting new patients
Optometric Eye Services LLC Optometrist Past Accepting new patients

Locations

1101 Amboy Ave
Edison, NJ 08837
Phone (718) 477-6700

2766 Sunrise Hwy
Bellmore, NY 11710
Phone (516) 826-2020

2376 Grand Concourse
Bronx, NY 10458
Phone (718) 365-6300

9015 Queens Blvd
Flushing, NY 11373
Phone (718) 592-5200

555 Route 211 E
Ste 3
Middletown, NY 10941
Phone (845) 692-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1619190915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 QUEENS BLVD STE 2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734910",
            "telephone_number": "718-592-5200",
            "fax_number": "718-592-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 QUEENS BLVD",
            "address_2": "COHEN'S FASHION OPTICAL #6",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734900",
            "telephone_number": "718-592-5200",
            "fax_number": "718-592-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURTER",
        "first_name": "BORA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005905-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.