Bahur Yacobov, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

6538 Issued in NY

Practice address

8113 Lefferts Blvd
Kew Gardens, NY 11415-1727

Phone

(718) 849-0847

Fax

(718) 849-0864

NPI assigned

May 3, 2012

Last updated

May 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Lab Optician PC

  • Optician
  • Kew Gardens, NY
  • NPI 1881086015
  NPD Authorized official
• Eyeglass Liquidators Inc.

  dba mirage optica

  • Optometrist
  • Kew Gardens, NY
  • NPI 1053494179
  NPD (past)

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1629337167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 LEFFERTS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151727",
            "telephone_number": "718-849-0847",
            "fax_number": "718-849-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8113 LEFFERTS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151727",
            "telephone_number": "718-849-0847",
            "fax_number": "718-849-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOBOV",
        "first_name": "BAHUR",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "6538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wise Medicine, PC
• Steven George Wolbeck, LCSW
• Joaquin Rosario Wong III, DPT
• Karen A Wong, M.D.
• Worthy of Wellness LLC
• Angela Yagudayeva, M.S. EDUCATION
• Seraphyma Yakovleva, LCSW
• Markiel Yakubov, O.D.
• Sofya B Yakutilova
• Chava Yankelewitz

• Optician in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.